Organization Active NPI

Echenberg Institute for Pelvic and Sexual Pain

  • Specialist
  • New York, NY
National Provider Identifier
1013320845
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
274043 Issued in NY
Legal business name
ECHENBERG INSTITUTE FOR PELVIC AND SEXUAL PAIN
Practice address
430 W Broadway FL 2
New York, NY 10012-3784
Phone
(610) 868-0104
Fax
(610) 868-0204
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert J Echenberg, MDNPI 1104901883
Title
Owner
Phone
(610) 868-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 274043 NY Primary

Addresses

Primary practice location

430 W Broadway FL 2
New York, NY 10012-3784

Mailing address

623 W Union Blvd
Suite 5
Bethlehem, PA 18018-3708
Phone (610) 868-0104

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1013320845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W UNION BLVD",
            "address_2": "SUITE 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183708",
            "telephone_number": "610-868-0104",
            "fax_number": "610-868-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123784",
            "telephone_number": "610-868-0104",
            "fax_number": "610-868-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHENBERG INSTITUTE FOR PELVIC AND SEXUAL PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ECHENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-868-0104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "274043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.