Organization Active NPI

Paul Eric Eckstein, D.P.M., P.C.

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1750541207
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005165 Issued in NY
Legal business name
PAUL ERIC ECKSTEIN, D.P.M., P.C.
Practice address
450 7TH Ave
Suite 1004
New York, NY 10123-0101
Phone
(212) 564-2331
Fax
(212) 564-7081
NPI assigned
Jun 9, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Dr. Paul Eric Eckstein, D.P.M.NPI 1780671644
Title
Director
Phone
(212) 564-2331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005165 NY Primary

Addresses

Primary practice location

450 7TH Ave
Suite 1004
New York, NY 10123-0101

Mailing address

450 7TH Ave
Suite 1004
New York, NY 10123-0101
Phone (212) 564-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323002020 NY Part B Supplier - Clinic/Group Practice 2163313503 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

161 Madison Ave
Ste 7SW
New York, NY 10016
Phone (212) 564-2331

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1750541207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-564-2331",
            "fax_number": "212-564-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-564-2331",
            "fax_number": "212-564-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL ERIC ECKSTEIN, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-564-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005165",
            "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 Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.