Active NPI
Marlene R Eckstein, M.D.
- Diagnostic Radiology Physician
- Highland, NY
National Provider Identifier
1306136304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 130294-1
- Practice address
- 6 Merlot Drive
Apt 640
Highland, NY 12528-6328 - Phone
- (845) 691-7620
- Fax
- (845) 691-7620
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 130294-1 | NY | Primary |
Addresses
Primary practice location
6 Merlot Drive
Apt 640
Highland, NY 12528-6328
Mailing address
6 Merlot Drive
Apt 640
Highland, NY 12528-6328
Phone (845) 691-7620
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130294-1 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1306136304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MERLOT DRIVE",
"address_2": "APT 640",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125286328",
"telephone_number": "845-691-7620",
"fax_number": "845-691-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MERLOT DRIVE",
"address_2": "APT 640",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125286328",
"telephone_number": "845-691-7620",
"fax_number": "845-691-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKSTEIN",
"first_name": "MARLENE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "130294-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.