Individual provider Active NPI

Rosa Madrid-Echo, D.M.D

  • Dentist
  • Teaneck, NJ
National Provider Identifier
1093965592
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01894200 Issued in NJ
Practice address
1432 Queen Anne Rd
Teaneck, NJ 07666-3518
Phone
(201) 833-2058
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01894200 NJ Primary

Addresses

Primary practice location

1432 Queen Anne Rd
Teaneck, NJ 07666-3518

Mailing address

20 Long Acres Rd
Fairfield, NJ 07004-1217
Phone (973) 808-5640

Other names 1

  • Dr. Rosa Madrid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01894200NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Kolatac, DMD PA Dentist Past Accepting new patients

Organizations & group practices 1

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1093965592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LONG ACRES RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041217",
            "telephone_number": "973-808-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663518",
            "telephone_number": "201-833-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID-ECHO",
        "first_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01894200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "MADRID",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.