ESSEX PEDIATRICS & ASSOCIATES PC
NPI 1609227248
Preferred Provider Organization in Newark, NJ
NPI Status: Active since June 24, 2016
Contact Information
654 MOUNT PROSPECT AVE
NEWARK, NJ
ZIP 07104
Phone: (973) 412-7700
Fax: (973) 412-7703
- Organization
- Preferred Provider Organization
About ESSEX PEDIATRICS & ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Essex Pediatrics & Associates Pc, a provider established in Newark, New Jersey operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1609227248 assigned on June 2016. The practitioner's primary taxonomy code is 305R00000X with license number 25MA03786800 (NJ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Rene Bernard Esquerre Md (Medical Director)
- NPI
- 1609227248
- Provider Name
- ESSEX PEDIATRICS & ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 654 MOUNT PROSPECT AVE NEWARK, NJ 07104
- Location Phone
- (973) 412-7700
- Location Fax
- (973) 412-7703
- Mailing Address
- PO BOX 529 BELLEVILLE, NJ 07109
- Mailing Phone
- (973) 412-7700
- Mailing Fax
- (973) 412-7703
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2016
- Last Update Date
- 06-24-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 25MA03786800
- License State
- NJ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0459208 | MEDICAID (05) | NJ |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609227248, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
NEWARK, NJ 07104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609227248, enumerated as an "organization" on June 24, 2016.
The provider is located at 654 MOUNT PROSPECT AVE NEWARK, NJ 07104 and the phone number is (973) 412-7700.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
