Active NPI
Richard David Epstein, M.D.
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1609956598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 118253
- Practice address
- 8801 Shore Rd
Brooklyn, NY 11209-5450 - Phone
- (718) 745-8885
- Fax
- (718) 368-5024
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 118253 | NY | Primary |
Addresses
Primary practice location
8801 Shore Rd
Brooklyn, NY 11209-5450
Mailing address
8901 Shore Rd
Apt. 8D
Brooklyn, NY 11209-5451
Phone (718) 745-8885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079150 | Other | NY | GHI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118253 | NY | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1609956598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 SHORE RD",
"address_2": "APT. 8D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095451",
"telephone_number": "718-745-8885",
"fax_number": "718-368-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 SHORE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095450",
"telephone_number": "718-745-8885",
"fax_number": "718-368-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "RICHARD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "118253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0079150",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.