Provider Type Icon

ESSEX PEDIATRICS & ASSOCIATES PC NPI 1609227248


NPI Information

NPI: 1609227248
Provider Name: ESSEX PEDIATRICS & ASSOCIATES PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
654 MOUNT PROSPECT AVE
NEWARK, NJ
ZIP 07104
Phone: (973) 412-7700
Get Directions

ESSEX PEDIATRICS & ASSOCIATES PC is a preferred provider organization in Newark, NJ. The provider is 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. ESSEX PEDIATRICS & ASSOCIATES PC NPI is 1609227248. The provider is registered as an organization entity type.

The provider's business location address is:

654 MOUNT PROSPECT AVE
NEWARK, NJ
ZIP 07104-110
Phone: (973) 412-7700
Fax: (973) 412-7703

The provider's authorized official is Rene Bernard Esquerre .
The authorized official title is Medical Director and has the following contact phone number (973) 412-7700.

The enumeration date for this NPI number is 6/24/2016 and was last updated on 6/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization25MA03786800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10459208MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.