Irvington Pediatric Associates, P.A.

LBN: Irvington Pediatric Associates, P.A.
Irvington Pediatric Associates, P.A. is an health care organization with primary practice located at 22 Ball St Suite 100, Irvington NJ 07111-3521. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Irvington Pediatric Associates, P.A. 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 Suite 100 Irvington NJ 07111-3521
Phone: (973) 371-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lauredan, Bernier Doctor of Medicine (MD)
Phone: (973) 371-1600

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 25MA05388700 New Jersey

Profile Details

NPI number 1770518698
LBN Legal business name Irvington Pediatric Associates, P.A.
DBA Doing business as
Authorized official Lauredan, Bernier Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1770518698 NPPES
New Jersey MEDICAID 0677701

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