Irvington Pediatric Associates, P.a.
Preferred Provider Organization in Irvington, New Jersey
1770518698- Practice location
- 22 Ball St, Suite 100, Irvington, NJ 07111-3521
- Phone
- 973-371-1600
- Fax
- —
- Last updated
- August 22, 2020
Irvington Pediatric Associates, P.a. is a healthcare organization based in Irvington, NJ. Irvington Pediatric Associates, P.a. practices in Irvington, NJ. The NPI Number for Irvington Pediatric Associates, P.a. is 1770518698 and holds a License No. 25ma05388700 (NJ). The current practice location address for Irvington Pediatric Associates, P.a. is 22 Ball St, Suite 100, Irvington, NJ 07111-3521 and can be reached out via phone at 973-371-1600.
Provider Profile Details
- NPI Number
- 1770518698
- Provider Name
- Irvington Pediatric Associates, P.a.
- Provider Entity Type
- Organization
- Address
- 22 Ball St, Suite 100, Irvington, NJ 07111-3521
- Phone Number
- 973-371-1600
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Bernier Lauredan, MD · Medical Director · 973-371-1600
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Ball St
Suite 100
Irvington, NJ 07111-3521 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-3521
- Phone Number
- 973-371-1600
Provider Business Mailing Address Details
- Address
- 22 Ball St
Suite 100
Irvington, NJ 07111-3521 - City
- Irvington
- State
- NJ
- Zip
- 07111-3521
- Phone Number
- 973-371-1600
License Information
- License Number
- 25ma05388700
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Irvington Pediatric Associates, P.a.?
The NPI number of Irvington Pediatric Associates, P.a. is 1770518698. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Irvington Pediatric Associates, P.a.?
Irvington Pediatric Associates, P.a. is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 25ma05388700.
Where does Irvington Pediatric Associates, P.a. practice?
The practice location is 22 Ball St, Suite 100, Irvington, NJ 07111-3521. The office can be reached at 973-371-1600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770518698 directly on the NPPES registry website.