Individual provider Active NPI

Samuel E Epstein, DO

  • Orthopaedic Surgery Physician
  • Manahawkin, NJ
National Provider Identifier
1609872555
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MB51223 Issued in NJ
Practice address
1168 Beacon Ave
Manahawkin, NJ 08050-2418
Phone
(609) 597-6092
Fax
(609) 597-7458
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MB51223 NJ Primary

Addresses

Primary practice location

1168 Beacon Ave
Manahawkin, NJ 08050-2418

Mailing address

1168 Beacon Ave
Manahawkin, NJ 08050-2418
Phone (609) 597-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000011 NJ Practitioner - Orthopedic Surgery 9133287436 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB51223NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Jun 1, 2014 Accepting new patients
Advocare , LLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1168 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-6092

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

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, 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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1609872555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502418",
            "telephone_number": "609-597-6092",
            "fax_number": "609-597-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502418",
            "telephone_number": "609-597-6092",
            "fax_number": "609-597-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MB51223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.