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

NPI Status: Active since July 11, 2006

Contact Information

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

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  • Organization
  • Preferred Provider Organization

About IRVINGTON PEDIATRIC ASSOCIATES, P.A.

This page provides the complete NPI Profile along with additional information for Irvington Pediatric Associates, P.a., a provider established in Irvington, New Jersey operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1770518698 assigned on July 2006. The practitioner's primary taxonomy code is 305R00000X with license number 25MA05388700 (NJ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Bernier Lauredan Md (Medical Director)

NPI
1770518698
Provider Name
IRVINGTON PEDIATRIC ASSOCIATES, P.A.
Entity Type
Organization
Location Address
22 BALL ST SUITE 100 IRVINGTON, NJ 07111
Location Phone
(973) 371-1600
Mailing Address
22 BALL ST SUITE 100 IRVINGTON, NJ 07111
Mailing Phone
(973) 371-1600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2006
Last Update Date
08-22-2020
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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.
25MA05388700
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BERNIER LAUREDAN MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(973) 371-1600

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
0677701MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770518698
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714010116618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 1 + 1 + 6 + 6 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1770518698 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

DR. BERNIER LAUREDAN M.D.

Preferred Provider Organization

22 BALL ST
SUITE 100
IRVINGTON, NJ
ZIP 07111

(973) 371-1600

SANDRENE MILLER M.D

Pediatrics

(Pediatric Hematology-Oncology)

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(973) 371-1600

ESSEX PEDI DOCS LLC

Pediatrics

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(973) 371-1600

SUNRISE CLINICAL LAB, LLC

Clinical Medical Laboratory

22 BALL ST
SUITE # 2
IRVINGTON, NJ
ZIP 07111

(973) 757-2184

MISS LISA SILAS CPRS

Peer Specialist

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(973) 372-1095

MS. STACY A SHARPE

Nurse Practitioner

(Psychiatric/Mental Health)

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(973) 372-1095

TUSEEAF RATHORE

Clinic/Center

(Methadone)

22 BALL ST
2ND FLOOR
IRVINGTON, NJ
ZIP 07111

(201) 668-5016

SUNRISE CLINICAL SERVICES, LLC

Clinic/Center

(Methadone)

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(739) 372-1095

KUMARASWAMY GOLLARAHALLY-KENCHAP PHD

Clinical Medical Laboratory

22 BALL ST
IRVINGTON, NJ
ZIP 07111

(973) 877-8357

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770518698, enumerated as an "organization" on July 11, 2006.

The provider is located at 22 BALL ST SUITE 100 IRVINGTON, NJ 07111 and the phone number is (973) 371-1600.

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.