Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pedi Doc, PA

Organization Preferred Provider Organization · NPI 1073538658

Pedi Doc, PA is a Preferred Provider Organization in Perth Amboy, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 Smith St Ste D
Perth Amboy, NJ 08861-4323
Phone: (732) 697-1600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 25MA05388700 (NJ)

Record details

NPI number1073538658
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEssex Pedi Doc, LLC
Authorized official Bernier Lauredan — Medical Director · (973) 371-1600
NPI enumeratedJuly 13, 2006
Last updated in NPPESMarch 22, 2013
Mailing address22 Ball St, Suite 100, Irvington, NJ 07111-3521