Active NPI
James E Eckert Jr., PA-C
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1629218284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 014790
- Practice address
- 275 7TH Ave
New York, NY 10001-6708 - Phone
- (212) 604-1701
- Fax
- (212) 604-1750
- NPI assigned
- Feb 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054836 | PA | |
| Medical Physician Assistant | 363AM0700X | 014790 | NY | Primary |
Addresses
Primary practice location
275 7TH Ave
New York, NY 10001-6708
Mailing address
1 Gustave L Levy PL # 3000
New York, NY 10029-6504
Phone (212) 987-3100
Other practice location 1
312 W 48th St
Apt 7
New York, NY 10036-1303
Phone (646) 770-5358
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014790 | NY | MD | Medical Physician Assistant |
| MA054836 | PA | MD | Medical Physician Assistant |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629218284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-987-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 7TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016708",
"telephone_number": "212-604-1701",
"fax_number": "212-604-1750"
}
],
"practiceLocations": [
{
"address_1": "312 W 48th St",
"address_2": "Apt 7",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100361303",
"country_code": "US",
"telephone_number": "646-770-5358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKERT",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054836",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.