MEDICARE: ESSEX ADULT, ADOLESCENT & PEDIATRIC MEDICAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MA64547	NJ
2	208000000X	Pediatrics Physician	MA64547	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558493577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSEX ADULT, ADOLESCENT & PEDIATRIC MEDICAL, PC

Provider Business Mailing Address
First Line	:	PO BOX 111569
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-0569
Country	:	US
Telephone Number	:	973-676-0500
Fax Number	:	973-676-0566

Provider Business Practice Location Address
First Line	:	98 S MUNN AVE
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-3402
Country	:	US
Telephone Number	:	973-676-0500
Fax Number	:	973-676-0566

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. CAROL N ABALIHI
Credential	:	M.D.
Telephone Number	:	973-676-0500

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	09/11/2025

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