Active NPI
Daniel M Epstein, MD
- Pediatrics Physician
- Cambridge, MA
National Provider Identifier
1083726111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49447
- Practice address
- 575 Mt Auburn St
Epstein Ballenger T Goldstein
Cambridge, MA 02138-6844 - Phone
- (617) 354-6660
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49447 | MA | Primary |
Addresses
Primary practice location
575 Mt Auburn St
Epstein Ballenger T Goldstein
Cambridge, MA 02138-6844
Mailing address
91 Childton St
Cambridge, MA 02138
Phone (617) 547-5875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171336 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49447 | MA | MD | Pediatrics Physician |
Interoperability endpoints
- depstein7194@direct.chppoc.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083726111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CHILDTON ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-547-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 MT AUBURN ST",
"address_2": "EPSTEIN BALLENGER T GOLDSTEIN",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021386844",
"telephone_number": "617-354-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "49447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171336",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.