Echenique Medical Office PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

212182 Issued in NY

Legal business name

ECHENIQUE MEDICAL OFFICE PC

Practice address

41-15 162ND Street
Flushing, NY 11358-4124

Phone

(718) 762-6640

Fax

(718) 762-6635

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Evelio Echenique, MDNPI 1700839578

Title

President

Phone

(718) 762-6640

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelio Echenique, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1700839578
  Medicare reassignment Care Compare group NPD Authorized official
• Galina Stolina, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1174529622
  Medicare reassignment Care Compare group NPD
• Abidemi S Akinkunmi, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1588991210
  Medicare reassignment NPD
• Sudhir Gadh, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1245458835
  Medicare reassignment NPD
• Marlen Elizabeth Martinez, NP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1629543038
  Medicare reassignment NPD
• John Thomas Rigney, MD

  • Diagnostic Radiology Physician
  • Chappaqua, NY
  • NPI 1255449229
  Medicare reassignment NPD
• Adrine Lewis-Hyatt, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1598162901
  NPD (past)
• Anthony Vecchia, MD

  • Emergency Medicine Physician
  • Fresh Meadows, NY
  • NPI 1134171457
  NPD (past)
• Sidney Rodolfo Wilson, PA12

  • Medical Physician Assistant
  • Flushing, NY
  • NPI 1861439523
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1942532791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-15 162ND STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584124",
            "telephone_number": "718-762-6640",
            "fax_number": "718-762-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-15 162ND STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584124",
            "telephone_number": "718-762-6640",
            "fax_number": "718-762-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHENIQUE MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "ECHENIQUE",
        "authorized_official_first_name": "EVELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-762-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212182",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID#",
            "identifier": "05095",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02457472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastgene Laboratories Inc
• Eastpathlab LLC.
• Easy Care Medical Services P.C.
• Ariana Colette Ebel
• Aaronrey Garcia Ebreo, DO
• Evelio Echenique, M.D.
• Echo Acupuncture P.C.
• Loren Ecker, LCSW
• Koli Eckert, NP-C
• Eco Pharmacy LLC

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.