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Contact Information

ESSEX PEDIATRICS & ASSOCIATES PC
654 MOUNT PROSPECT AVE
NEWARK, NJ07104-3110
 Phone: 973-412-7700
 Fax: 973-412-7703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ESSEX PEDIATRICS & ASSOCIATES PC

NPI # 1609227248
LBN Legal business name ESSEX PEDIATRICS & ASSOCIATES PC
Authorized official RENE ESQUERRE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2016
Last updated 06/24/2016 - About 10 years ago
Identifiers
NJ License # 25MA03786800
NJ Medicaid 0459208
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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