Active NPI
David Marc Epstein, M.D.
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1124130778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0002711
- Practice address
- 300 Biddle Ave Ste 206
Springside Plaza, Connor Building
Newark, DE 19702-3969 - Phone
- (302) 392-2077
- Fax
- (302) 392-0020
- 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 | C1-0002711 | DE | Primary |
Addresses
Primary practice location
300 Biddle Ave Ste 206
Springside Plaza, Connor Building
Newark, DE 19702-3969
Mailing address
300 Biddle Ave Ste 206
Springside Plaza, Connor Building
Newark, DE 19702-3969
Phone (302) 392-2077
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43544 | Other | DE | COVENTRY |
| 710346 | Other | DE | AETNA PPO |
| K899 | Other | DE | BCBS MD |
| 000710346 | Other | DE | IBC PPO |
| 0546436000 | Other | DE | KEYSTONE |
| 783F25 | Other | DE | BCBS DE |
| 0000015201 | Other | DE | DPCI |
| 0000015201 | Medicaid | DE | |
| 510110041 | Other | DE | BCBS |
| 856324 | Other | DE | MAMSI |
| 4235254 | Other | DE | AETNA USHC |
| 0546436000 | Other | DE | AETNA HMO |
| 0000015201 | Other | DE | DIAMOND STATE PARTNERS |
| 0546436000 | Other | DE | IBC HMO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0002711 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Modern Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- davidepstein@dmppa.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Newark, DE
- NPI 1578608592
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": "1313539200000",
"number": "1124130778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BIDDLE AVE STE 206",
"address_2": "SPRINGSIDE PLAZA, CONNOR BUILDING",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023969",
"telephone_number": "302-392-2077",
"fax_number": "302-392-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BIDDLE AVE STE 206",
"address_2": "SPRINGSIDE PLAZA, CONNOR BUILDING",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023969",
"telephone_number": "302-392-2077",
"fax_number": "302-392-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "DAVID",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0002711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "43544",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "710346",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "K899",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC PPO",
"identifier": "000710346",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0546436000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DE",
"identifier": "783F25",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPCI",
"identifier": "0000015201",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000015201",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510110041",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "856324",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4235254",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0546436000",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE PARTNERS",
"identifier": "0000015201",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC HMO",
"identifier": "0546436000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.