Organization Active NPI

Jose B. Ecal, M.D.P.a.

  • Medical Specialty Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1396934055
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA26655 Issued in NJ
Legal business name
JOSE B. ECAL, M.D.P.A.
Practice address
768 W Side Ave
Jersey City, NJ 07306-6010
Phone
(201) 435-2668
Fax
(201) 435-2351
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Jose B Ecal, M.D.
Title
President / Sole Shareholder
Phone
(201) 435-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA26655 NJ Primary

Addresses

Primary practice location

768 W Side Ave
Jersey City, NJ 07306-6010

Mailing address

97 Brown Cir
Paramus, NJ 07652-5203
Phone (201) 435-2668

Other identifiers 1

IdentifierTypeStateIssuer
1082726OtherNJHORIZON NG

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1396934055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BROWN CIR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525203",
            "telephone_number": "201-435-2668",
            "fax_number": "201-435-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 W SIDE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066010",
            "telephone_number": "201-435-2668",
            "fax_number": "201-435-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE B. ECAL, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ECAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT / SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "201-435-2668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA26655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NG",
            "identifier": "1082726",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.