Individual provider Active NPI

Angelica Echevarria, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1013463652
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340914-1 Issued in NY
Practice address
1154 East Tremont Avenue
Bronx, NY 10460
Phone
(718) 664-7679
Fax
(347) 767-4820
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340914-1 NY Primary

Addresses

Primary practice location

1154 East Tremont Avenue
Bronx, NY 10460

Mailing address

1154 East Tremont Ave
Bronx, NY 10460
Phone (718) 664-7679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170221000140 NY Practitioner - Nurse Practitioner 1951685841 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340914-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Audubon Primary Care Medicine PLLC CurrentSince Dec 19, 2016 Accepting new patients
181St Street Medical P.C. CurrentSince Dec 19, 2016 Accepting new patients
CCN General Medicine PLLC CurrentSince Jan 10, 2017 Accepting new patients

Locations

1154 E Tremont Ave
Bronx, NY 10460
Phone (212) 281-9472

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

521 W 181st St
New York, NY 10033
Phone (347) 756-6000

325 Audubon Ave
New York, NY 10033
Phone (718) 664-7679

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: angelica.beato@cgm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA/Endpoint/JEJIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJIAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1013463652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 EAST TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-664-7679",
            "fax_number": "347-767-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 EAST TREMONT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-664-7679",
            "fax_number": "347-767-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "ANGELICA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.