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 9 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 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. | |||||||||
| 1 | 6 | 0 | 9 | 2 | 2 | 7 | 2 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 4 | 2 | 14 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 4 + 2 + 1 + 4 + 2 + 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 = 8 | 8 | ||||||||
The NPI number 1609227248 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356907604 | MUSHMOOM NIAZ Individual | Pharmacist | 654 MOUNT PROSPECT AVE NEWARK, NJ 07104 (862) 240-9603 |
| 1811657745 | NADINE AMINE PHARMD Individual | Pharmacist | 654 MOUNT PROSPECT AVE NEWARK, NJ 07104 (862) 240-9601 |
| 1609350412 | MT PROSPECT PHARMACY INC. Organization | Pharmacy (Community/Retail Pharmacy) | 654 MOUNT PROSPECT AVE NEWARK, NJ 07104 (862) 240-9601 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609227248, enumerated in the NPI registry 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
This medical organization specializes in 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 make sure your health plan is currently accepted.
This NPI record was last updated on June 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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