Pedi Doc, P.A. in Irvington - Preferred Provider Organization
Pedi Doc, P.A. - NPI 1073538658
Pedi Doc, P.A. is a Preferred Provider Organization in Irvington, New Jersey. Pedi Doc, P.A. practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Pedi Doc, P.A. is 1073538658. The last update date is 2013-03-22.
Pedi Doc, P.A.'s current location address is 22 Ball St, Irvington, New Jersey. You can contact this provider via phone number 9733711600. The mailing address for Pedi Doc, P.A. is 22 Ball St, Irvington, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pedi Doc, P.A. |
|---|---|
| Address | 22 Ball St, Irvington, New Jersey |
| Phone Number | 9733711600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Lauredan Bernier |
| Credentials | MD |
| Telephone Number | 9733711600 |
NPI Number Detail
| NPI Number | 1073538658 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2013-03-22 |
Provider Mailing Address Detail
| Address | 22 Ball St |
|---|---|
| City | Irvington |
| State | New Jersey (NJ) |
| Post Code | 71113521 |
| Phone Number | 9733711600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 25MA05388700 |
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Definition: 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 rec |
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What is the unique 10-digit identification code issued to Pedi Doc, P.A. by the Centers for Medicare & Medicaid Services?
The Pedi Doc, P.A. has been assigned the NPI (National Provider Identifier) 1073538658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Pedi Doc, P.A.?
The Pedi Doc, P.A. is physically situated at 22 Ball St, in the city of Irvington, state of NJ, with the postal code 71113521.
What is the Pedi Doc, P.A.'s area of specialization and corresponding taxonomy classification?
The Pedi Doc, P.A.'s specialty field is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their specialties.
When did the Pedi Doc, P.A. receive its 1073538658?
The Pedi Doc, P.A. was issued its 1073538658 on 2006-07-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pedi Doc, P.A. most recently updated?
The details pertaining to the Pedi Doc, P.A., including its address, specialty, and other relevant information, were last refreshed on 2013-03-22.