Active NPI
Lawrence Jay Epstein, MD
- Pain Medicine (Anesthesiology) Physician
- New York, NY
National Provider Identifier
1104869304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 1560691
- Practice address
- 1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500 - Phone
- (800) 627-4470
- Fax
- (412) 937-5710
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1560691 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 1560691 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Anesthesiology - Box 1010
New York, NY 10029-6500
Mailing address
PO Box 12023
Newark, NJ 07101-5023
Phone (212) 427-2666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01021154 | Medicaid | NY | |
| 2C3826 | Other | HEALTHNET | |
| P1295036 | Other | OXFORD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1560691 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Anesthesiology | Current | Accepting new patients |
| Brooklyn Anesthesia Medical Group, PLLC | Past | Accepting new patients |
Locations
775 Park Ave
Ste 115
Huntington, NY 11743
Phone (631) 659-4150
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Specialist
- Brooklyn, NY
- NPI 1679524813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1104869304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12023",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071015023",
"telephone_number": "212-427-2666",
"fax_number": "212-289-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "ANESTHESIOLOGY - BOX 1010",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "LAWRENCE",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "1560691",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "1560691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01021154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C3826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1295036",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.