Provider Demographics
NPI:1154501765
Name:ECHOSCAN
Entity type:Organization
Organization Name:ECHOSCAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICIAN OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:RITOTA
Authorized Official - Suffix:
Authorized Official - Credentials:RDCS
Authorized Official - Phone:973-919-0855
Mailing Address - Street 1:2 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1116
Mailing Address - Country:US
Mailing Address - Phone:973-919-0855
Mailing Address - Fax:
Practice Address - Street 1:2 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1116
Practice Address - Country:US
Practice Address - Phone:973-919-0855
Practice Address - Fax:973-845-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ470000359OtherRAILROAD MEDICARE
NJ470000359OtherRAILROAD MEDICARE