OrganizationActive
Pedi Doc, P.A.
NPI 1073538658 · Preferred Provider Organization · Perth Amboy, NJ
Provider details
- NPI number
- 1073538658
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Essex Pedi Doc, LLC
- Organization subpart
- Yes
- Authorized official
- Bernier Lauredan, Medical Director(973) 371-1600
- License
- 25MA05388700 (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
205 Smith St
Suite D
Perth Amboy, NJ 08861-4323
Phone: (732) 697-1600
Approximate (ZIP-level) locationGet directions
Mailing address
22 Ball St
Irvington, NJ 07111-3521
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2013-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.