NPIMap

Individual provider Active NPI

Gerard T Eichman, M.D.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
National Provider Identifier
1699774950
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA56809 Issued in NJ
Practice address
954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone
(201) 833-2300
Fax
(201) 833-7600
NPI assigned
Jul 19, 2005
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA56809 NJ Primary

Addresses

Primary practice location

954 Teaneck Rd
Teaneck, NJ 07666-4504

Mailing address

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Other identifiers 1

IdentifierTypeStateIssuer
6515801MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000100 NJ Practitioner - Cardiovascular Disease (Cardiology) 2668547027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cliffside Medical LLCGroup PAC ID 0042230740, 6 clinicians
Holy Name Hospital Ekg Interpretation GroupGroup PAC ID 5294798849, 13 clinicians
Holy Name Cardiology Associates, PCGroup PAC ID 5890871651, 7 clinicians

Practice addresses (Care Compare)

663 Palisade Ave
Cliffside Park, NJ 07010-3012
Phone (201) 945-6500

663 Palisade Ave
Suite 101
Cliffside Park, NJ 07010-3098

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA56809NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cliffside Medical LLC CurrentSince Mar 7, 2020 Accepting new patients
Holy Name Cardiology Associates, PC Cardiovascular Disease CurrentSince Mar 31, 2012 Accepting new patients
Cardiovascular Associates of Teaneck PA Cardiovascular Disease Past Accepting new patients

Locations

663 Palisade Ave
Cliffside Pk, NJ 07010
Phone (201) 945-0491

663 Palisade Ave
Ste 101
Cliffside Pk, NJ 07010
Phone (201) 917-2246

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

954 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1699774950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHMAN",
        "first_name": "GERARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA56809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6515801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.