Active NPI
Philip Ofosu Eck, M.D.
- Anesthesiology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA10212800
- Practice address
- 30 Prospect Ave Ste 2703
Hackensack, NJ 07601-1915 - Phone
- (551) 996-2419
- Fax
- (551) 996-3962
- NPI assigned
- Apr 30, 2013
- Last updated
- Apr 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 301946 | NY | |
| Anesthesiology Physician | 207L00000X | 25MA10212800 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave Ste 2703
Hackensack, NJ 07601-1915
Mailing address
30 Prospect Ave Ste 2703
Hackensack, NJ 07601-1915
Phone (551) 996-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301946 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Anesthesiology | Current | Accepting new patients |
| Pain Management Institute PA | Anesthesiology | Current | Accepting new patients |
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
171 Interstate Dr
Ste 101
West Springfield, MA 01089
Phone (413) 737-5500
619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
30 Prospect Ave
Ste 2703
Hackensack, NJ 07601
Phone (551) 996-2419
5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- Elmwood Park, NJ
- NPI 1780989087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1003251349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE STE 2703",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-2419",
"fax_number": "551-996-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE STE 2703",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-2419",
"fax_number": "551-996-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "PHILIP",
"middle_name": "OFOSU",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "301946",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA10212800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
- Eastern Nursing Services I, Inc (Priority Nursing Services)
- Eastgate Nursing & Rehabilitation, LLC (Kadima Rehabilitation & Nursing at Eastgate)
- Victoria Ebel, APN
- Laurie Ellen Ebner-Lyon, A.P.N.
- Caroline Margaret Eby
- Donna Aliza Eckstein, M.D.
- Mayer Eckstein, DMD
- Edni Counseling Services
- Novlette Edwards-Hammond, APN
- Adina Edwards
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.