Essex Pedi Docs Llc

LBN: Essex Pedi Docs Llc
Essex Pedi Docs Llc is an health care organization with primary practice located at 22 Ball St , Irvington NJ 07111-3521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Essex Pedi Docs Llc can be contacted via phone (973) 371-1600, or through Lauredan, Bernier via phone (973) 371-1600.

Contact Information

Primary practice address
22 Ball St Irvington NJ 07111-3521
Phone: (973) 371-1600
Fax: (973) 372-7677
Website:
Map and Directions
Authorized official contact:
Name: Lauredan, Bernier Doctor of Medicine (MD)
Phone: (973) 371-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA53887 New Jersey

Profile Details

NPI number 1518258359
LBN Legal business name Essex Pedi Docs Llc
DBA Doing business as
Authorized official Lauredan, Bernier Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2011
Last updated Apr 27th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518258359 NPPES
New Jersey MEDICAID 0677701

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