Active NPI
Micheline Lataliza Epstein, M.D.
- Family Medicine Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019-01497
- Practice address
- 4600 Lake Boone TRL Ste 200
Raleigh, NC 27607-7529 - Phone
- (919) 926-8890
- NPI assigned
- Jul 13, 2011
- Last updated
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 275648 | NY | |
| Family Medicine Physician | 207Q00000X | 2019-01497 | NC | Primary |
Addresses
Primary practice location
4600 Lake Boone TRL Ste 200
Raleigh, NC 27607-7529
Mailing address
4600 Lake Boone TRL Ste 200
Raleigh, NC 27607-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
Other names 1
- Dr. Micheline Lataliza McBrine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14040 Sanford Ave
Flushing, NY 11355-2556
Phone (718) 299-7295
222 Broadway
Unit 2135
New York, NY 10038-2510
Phone (888) 818-2059
4600 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7529
4601 Lake Boone TRL
Suite 2H
Raleigh, NC 27607-7530
Phone (919) 926-8890
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-01497 | NC | MD | Family Medicine Physician |
| 275648 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| Living Well Balanced Nyc Medical PLLC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Hbot LLC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| LWB Associates PLLC | Current | Accepting new patients | |
| Brain Health Medical PC | Current | Accepting new patients | |
| Terence Cardinal Cooke Health Care Center | Past | Accepting new patients |
Locations (25 of 27)
4600 Lake Boone Trl
Ste 210
Raleigh, NC 27607
Phone (919) 678-3286
4601 Lake Boone Trl
Ste 2H
Raleigh, NC 27607
Phone (919) 926-8890
1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800
1181 Grand Concourse
Bronx, NY 10452
Phone (718) 457-7443
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1990 McGraw Ave
Ste A
Bronx, NY 10462
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2015 Grand Concourse
#13202
Bronx, NY 10453
2308 Eastchester Rd
Bronx, NY 10469
2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
2722 White Plains Rd
Ste A
Bronx, NY 10467
2742 3rd Ave
Ste A
Bronx, NY 10455
305 E 149th St
Bronx, NY 10451
Phone (212) 470-9229
3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892
3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000
502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905
5997 Riverdale Ave
Bronx, NY 10471
Phone (718) 884-9803
616 Castle Hill Ave
Ste A
Bronx, NY 10473
918 Pelham Pkwy S
Ste 1
Bronx, NY 10462
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
1249 5th Ave
New York, NY 10029
Phone (212) 360-1000
180 W 80th St
New York, NY 10024
Phone (212) 579-2858
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1871155424
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Internal Medicine Physician
- New York, NY
- NPI 1316692379
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
dba Noah Clinics
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- New York, NY
- NPI 1497590616
-
dba Ryan Health Midtown Emotional Wellness Center
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
dba Ryan Women & Children's Community Health Center
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1124347182
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- New York, NY
- NPI 1598744146
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1417245382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TRL STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 LAKE BOONE TRL STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077529",
"telephone_number": "919-926-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "MICHELINE",
"middle_name": "LATALIZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "275648",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-01497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELINE",
"last_name": "MCBRINE",
"middle_name": "LATALIZA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.