Organization Active NPI

Echo Clinical Associates LLC

  • General Practice Physician
  • Miller Place, NY
National Provider Identifier
1285278291
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ECHO CLINICAL ASSOCIATES LLC
Practice address
56 Echo Ave.
Ste 1
Miller Place, NY 11764-2454
Phone
(631) 331-1031
NPI assigned
Nov 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Marcia McCutcheon
Title
Director
Phone
(631) 331-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

56 Echo Ave.
Ste 1
Miller Place, NY 11764-2454

Mailing address

PO Box 343
Miller Place, NY 11764-0343
Phone (631) 331-1031

National Provider Directory

National Provider Directory

Locations

56 Echo Ave
Unit 1
Miller Place, NY 11764
Phone (631) 331-1031

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1285278291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117640343",
            "telephone_number": "631-331-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ECHO AVE.",
            "address_2": "STE 1",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642454",
            "telephone_number": "631-331-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO CLINICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-331-1031"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.