Individual provider Active NPI

Boris Epstein

  • Adult Medicine Physician
  • E Brunswick, NJ
National Provider Identifier
1194718130
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
25MB07361000 Issued in NJ
Practice address
620 Cranbury Rd
E Brunswick, NJ 08816-4000
Phone
(732) 698-2444
Fax
(732) 698-9844
NPI assigned
Aug 24, 2005
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 25MB07361000 NJ Primary

Addresses

Primary practice location

620 Cranbury Rd
E Brunswick, NJ 08816-4000

Mailing address

620 Cranbury Rd
Ste 104
East Brunswick, NJ 08816-4098
Phone (732) 698-7171

Other identifiers 1

IdentifierTypeStateIssuer
8905304MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040122000012 NJ Practitioner - Family Practice 7719889690 Reassigns benefits to 1 organization
I20040130000825 NY Practitioner - Family PracticePractitioner - General Practice 7719889690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 E Halsey Rd
Parsippany, NJ 07054-3720
Phone (973) 515-8079

1840 E 14TH St
Brooklyn, NY 11229-2800
Phone (718) 680-1600

2965 Ocean Pkwy
Suite 5a
Brooklyn, NY 11235-8024
Phone (718) 680-1600

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 698-7171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of tissue1-10
Removal of skin lesions256
Removal of nail tissue1-10
Skin biopsy34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07361000NJMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cranbury Medical PC CurrentSince Oct 31, 2005 Accepting new patients
Oceanside Medical PC CurrentSince Nov 17, 2011 Accepting new patients
Personal Touch Medical Care, P.C. PastSince Aug 13, 1996 Accepting new patients
East Shore Medical PC Past Accepting new patients

Locations

620 Cranbury Rd
Ste 104
East Brunswick, NJ 08816
Phone (732) 698-2444

620 Cranbury Rd
Ste 106
East Brunswick, NJ 08816
Phone (267) 269-7127

3450 Princeton Pike
Ste 120
Lawrenceville, NJ 08648
Phone (347) 453-5048

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1194718130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "address_2": "STE 104",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164098",
            "telephone_number": "732-698-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD",
            "city": "E BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-698-2444",
            "fax_number": "732-698-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MB07361000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8905304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.