Healthcare Provider Details

I. General information

NPI: 1588014377
Provider Name (Legal Business Name): ANDREW ESKAY BECKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

3401 CIVIC CENTER BLVD DIVISION OF CRITICAL CARE
PHILADELPHIA PA
19104-4319
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4267
  • Fax: 732-776-2344
Mailing address:
  • Phone: 267-426-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT210437
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberMT210437
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA12500300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: