Individual provider Active NPI

Judith Eastwick Epstein, M.D.

  • Pediatrics Physician
  • Silver Spring, MD
National Provider Identifier
1780618447
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77508 Issued in MA
Practice address
Naval Med Research Ctr
503 Robert Grant Ave.
Silver Spring, MD 20852
Phone
(301) 252-9026
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77508 MA Primary

Addresses

Primary practice location

Naval Med Research Ctr
503 Robert Grant Ave.
Silver Spring, MD 20852

Mailing address

11108 Stillwater Ave
Kensington, MD 20895-1133
Phone (301) 252-9026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20140423001099 DC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Infectious Disease 8022241215

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780618447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 STILLWATER AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951133",
            "telephone_number": "301-252-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MED RESEARCH CTR",
            "address_2": "503 ROBERT GRANT AVE.",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-252-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "JUDITH EASTWICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "77508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.