Echo Blue Enterprise LLC
Nurse Practitioner, Psych/Mental Health in Boonton, New Jersey
1699297168- Practice location
- 550 W Main St, Boonton, NJ 07005-1168
- Phone
- 973-570-4271
- Fax
- 973-625-7107
- Last updated
- July 16, 2017
Echo Blue Enterprise LLC is a healthcare organization based in Boonton, NJ. Echo Blue Enterprise LLC practices in Boonton, NJ. The NPI Number for Echo Blue Enterprise LLC is 1699297168 and holds a License No. 26NJ00164500 (NJ). The current practice location address for Echo Blue Enterprise LLC is 550 W Main St, Boonton, NJ 07005-1168 and can be reached out via phone at 973-570-4271 and via fax at 973-625-7107.
Provider Profile Details
- NPI Number
- 1699297168
- Provider Name
- Echo Blue Enterprise LLC
- Provider Entity Type
- Organization
- Address
- 550 W Main St, Boonton, NJ 07005-1168
- Phone Number
- 973-570-4271
- Fax Number
- 973-625-7107
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Mrs. Kathleen L. Kilcoyne, APN · Owner · 201-759-5141
- Provider Enumeration Date
- July 16, 2017
- Last Update Date
- July 16, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 W Main St
Boonton, NJ 07005-1168 - City
- Boonton
- State
- New Jersey
- Zip
- 07005-1168
- Phone Number
- 973-570-4271
- Fax Number
- 973-625-7107
Provider Business Mailing Address Details
- Address
- 123 Munsonhurst RD
Franklin, NJ 07416-1812 - City
- Franklin
- State
- NJ
- Zip
- 07416-1812
- Phone Number
- 201-759-5141
- Fax Number
- 973-625-7107
License Information
- License Number
- 26NJ00164500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Boonton, NJ
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- Juliet M Villegas, DOStudent in an Organized Health Care Education/Training Program · NPI 1407745177
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Frequently Asked Questions
What is the NPI number of Echo Blue Enterprise LLC?
The NPI number of Echo Blue Enterprise LLC is 1699297168. It was assigned on July 16, 2017 and is currently active in the NPPES registry.
What is the specialty of Echo Blue Enterprise LLC?
Echo Blue Enterprise LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00164500.
Where does Echo Blue Enterprise LLC practice?
The practice location is 550 W Main St, Boonton, NJ 07005-1168. The office can be reached at 973-570-4271 (phone) or 973-625-7107 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699297168 directly on the NPPES registry website.