Individual provider Active NPI

Jeffrey M Epstein, MD

  • Specialist
  • Babylon, NY
National Provider Identifier
1073580031
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NS143892 Issued in NY
Practice address
51 John St
Suite 4
Babylon, NY 11702-2928
Phone
(631) 669-0500
Fax
(631) 661-0463
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NS143892 NY Primary

Addresses

Primary practice location

51 John St
Suite 4
Babylon, NY 11702-2928

Mailing address

51 John St
Suite 4
Babylon, NY 11702-2928
Phone (631) 669-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000653 NY Practitioner - NeurosurgeryPractitioner - Pain Management 8224205349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NS143892NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1073580031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JOHN ST",
            "address_2": "SUITE 4",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022928",
            "telephone_number": "631-669-0500",
            "fax_number": "631-661-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JOHN ST",
            "address_2": "SUITE 4",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022928",
            "telephone_number": "631-669-0500",
            "fax_number": "631-661-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "NS143892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.