Individual provider Active NPI

Mark A Epstein, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Weston, FL
National Provider Identifier
1376613430
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME0057002 Issued in FL
Practice address
2900 S Commerce Parkway
Weston, FL 33331
Phone
(954) 385-6276
Fax
(954) 385-6201
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME0057002 FL Primary

Addresses

Primary practice location

2900 S Commerce Parkway
Weston, FL 33331

Mailing address

3200 SW 60TH CT Ste 302
Miami, FL 33155-4071
Phone (305) 662-8330

Other identifiers 1

IdentifierTypeStateIssuer
056883000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.epstein@fcn.eclinicaldirectplus.com

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

LicenseStateTypeSpecialty
ME0057002FLMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Past Accepting new patients
University of Miami Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1376613430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554071",
            "telephone_number": "305-662-8330",
            "fax_number": "954-385-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S COMMERCE PARKWAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-385-6276",
            "fax_number": "954-385-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME0057002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056883000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.epstein@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2900 S Commerce Parkway",
            "city": "Weston",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.