Provider Demographics
NPI:1043379258
Name:ALAN B ECHIKSON MD PA
Entity type:Organization
Organization Name:ALAN B ECHIKSON MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ZAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-533-9299
Mailing Address - Street 1:22 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5604
Mailing Address - Country:US
Mailing Address - Phone:973-533-9299
Mailing Address - Fax:973-992-7648
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-533-9299
Practice Address - Fax:973-992-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2627302Medicaid
NJC57128Medicare UPIN
NJ846610Medicare ID - Type Unspecified