National Provider Identifier Database

IRVINGTON PEDIATRIC ASSOCIATES PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

IRVINGTON PEDIATRIC ASSOCIATES, P.A.
22 BALL ST
SUITE 100
IRVINGTON, NJ07111-3521
Phone: 973-371-1600
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for IRVINGTON PEDIATRIC ASSOCIATES, P.A.

NPI Number 1770518698
Legal business name
LBN
IRVINGTON PEDIATRIC ASSOCIATES, P.A.
Authorized official BERNIER LAUREDAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA05388700
  • NJ Medicaid: 0677701

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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