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PEDI DOC, P.A.
NPI 1073538658
Preferred Provider Organization in Perth Amboy, NJ

Active since July 13, 2006
205 SMITH ST, SUITE D, PERTH AMBOY, NJ 08861(732) 697-1600 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedi Doc, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDI DOC, P.A. (NPI 1073538658) is a healthcare organization registered as a preferred provider organization in Perth Amboy, New Jersey and active in the NPI registry since July 2006. The organization lists Bernier Lauredan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073538658
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePEDI DOC, P.A.
Location Address205 SMITH ST, SUITE DPerth Amboy, NJ 08861-4323
Mailing Address22 Ball St, Suite 100Irvington, NJ 07111-3521 · (973) 371-1600
Phone(732) 697-1600
Organization SubpartYesParent: Essex Pedi Doc, Llc
Authorized OfficialBernier LauredanMedical Director · (973) 371-1600
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 22, 2013
✔ NPI 1073538658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NJ · 25MA05388700
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 receives care at a lower benefit level.
205 SMITH ST, Perth Amboy, NJ 08861
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Other Identifiers 1

Medicare ID-Type Unspecified0677701NJ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENIECE REID DMIN, LCSW
Counselor (Professional)
205 SMITH ST
PERTH AMBOY, NJ 08861
Middlesex County (732) 585-4040
CATHEDRAL COMMUNITY COUNSELING CENTER
Community/Behavioral Health
205 SMITH ST
PERTH AMBOY, NJ 08861
Middlesex County (732) 585-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedi Doc, P.A.'s NPI number?

The NPI number for Pedi Doc, P.A. is 1073538658. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Pedi Doc, P.A. located?

Pedi Doc, P.A. is located at 205 Smith St Suite D, Perth Amboy, NJ 08861. The listed phone number is (732) 697-1600.

What is Pedi Doc, P.A.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Pedi Doc, P.A. was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.