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IRVINGTON PEDIATRIC ASSOCIATES, P.A.
NPI 1770518698
Preferred Provider Organization in Irvington, NJ

Active since July 11, 2006
22 BALL ST, SUITE 100, IRVINGTON, NJ 07111(973) 371-1600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irvington Pediatric Associates, P.a. NPPES

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

IRVINGTON PEDIATRIC ASSOCIATES, P.A. (NPI 1770518698) is a healthcare organization registered as a preferred provider organization in Irvington, 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

NPI1770518698
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameIRVINGTON PEDIATRIC ASSOCIATES, P.A.
Location Address22 BALL ST, SUITE 100Irvington, NJ 07111-3521
Mailing Address22 Ball St, Suite 100Irvington, NJ 07111-3521 · (973) 371-1600
Phone(973) 371-1600
Organization SubpartNo
Authorized OfficialBernier LauredanMedical Director · (973) 371-1600
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770518698 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.
22 BALL ST, Irvington, NJ 07111
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Other Identifiers 1

Medicaid0677701NJ

Other Providers at the Same Location NPPES 9

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

MS. STACY A SHARPE
Nurse Practitioner (Psychiatric/Mental Health)
22 BALL ST
IRVINGTON, NJ 07111
Essex County (973) 372-1095
SUNRISE CLINICAL LAB, LLC
Clinical Medical Laboratory
22 BALL ST, SUITE # 2
IRVINGTON, NJ 07111
Essex County (973) 757-2184
SUNRISE CLINICAL SERVICES, LLC
Clinic/Center (Methadone)
22 BALL ST
IRVINGTON, NJ 07111
Essex County (739) 372-1095
TUSEEAF RATHORE
Clinic/Center (Methadone)
22 BALL ST, 2ND FLOOR
IRVINGTON, NJ 07111
Essex County (201) 668-5016
ESSEX PEDI DOCS LLC
Pediatrics
22 BALL ST
IRVINGTON, NJ 07111
Essex County (973) 371-1600
DR. BERNIER LAUREDAN M.D.
Preferred Provider Organization
22 BALL ST, SUITE 100
IRVINGTON, NJ 07111
Essex County (973) 371-1600
MISS LISA SILAS CPRS
Peer Specialist
22 BALL ST
IRVINGTON, NJ 07111
Essex County (973) 372-1095
KUMARASWAMY GOLLARAHALLY-KENCHAP PHD
Clinical Medical Laboratory
22 BALL ST
IRVINGTON, NJ 07111
Essex County (973) 877-8357

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 Irvington Pediatric Associates, P.A.'s NPI number?

The NPI number for Irvington Pediatric Associates, P.A. is 1770518698. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Irvington Pediatric Associates, P.A. located?

Irvington Pediatric Associates, P.A. is located at 22 Ball St Suite 100, Irvington, NJ 07111. The listed phone number is (973) 371-1600.

What is Irvington Pediatric Associates, 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 Irvington Pediatric Associates, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.