IRVINGTON PEDIATRIC ASSOCIATES P.A. NPI 1770518698

NPI Information

NPI: 1770518698
Provider Name: IRVINGTON PEDIATRIC ASSOCIATES, P.A.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address: 22 BALL ST
SUITE 100
IRVINGTON, NJ
ZIP 07111
Phone: (973) 371-1600

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NPI Details

IRVINGTON PEDIATRIC ASSOCIATES, P.A. 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. IRVINGTON PEDIATRIC ASSOCIATES, P.A. NPI is 1770518698. The provider is registered as an organization entity type.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/22/2020.

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
1	305R00000X	Preferred Provider Organization		25MA05388700	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0677701	MEDICAID	NEW 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: 11/21/2025

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