Active NPI
Jacqueline Epstein, STUDENT
- Student in an Organized Health Care Education/Training Program
- Staten Island, NY
National Provider Identifier
1780380188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 37 Winfield Ave
Staten Island, NY 10305-1427 - Phone
- (917) 916-4616
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
37 Winfield Ave
Staten Island, NY 10305-1427
Mailing address
37 Winfield Ave
Staten Island, NY 10305-1427
Phone (917) 916-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745692117-00 | Other | NY | FIDELIS CARE |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1780380188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WINFIELD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103051427",
"telephone_number": "917-916-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WINFIELD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103051427",
"telephone_number": "917-916-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "JACQUELINE",
"credential": "STUDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "745692117-00",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.