ESSEX PEDIDOC LLC NPI 1730475088

NPI Information

  • NPI: 1730475088
  • Provider Name: ESSEX PEDIDOC, LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 22 BALL ST STE 100
    IRVINGTON, NJ
    ZIP 07111
  • Phone: (973) 371-1600

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NPI Details

ESSEX PEDIDOC, LLC is a preferred provider organization in Irvington, 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 PEDIDOC, LLC NPI is 1730475088. The provider is registered as an organization entity type.

The provider's business location address is:

22 BALL ST STE 100
IRVINGTON, NJ
ZIP 07111-521
Phone: (973) 371-1600

The provider's authorized official is Bernier Lauredan .
The authorized official title is Physician and has the following contact phone number (973) 371-1600.

The enumeration date for this NPI number is 6/24/2011 and was last updated on 6/24/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization25MA05388700NEW JERSEYYes

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: 11/21/2025

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