Oceanside Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209115 Issued in NY

Legal business name

OCEANSIDE MEDICAL PC

Practice address

1840 E 14TH St
Brooklyn, NY 11229-2800

Phone

(718) 680-1600

NPI assigned

Dec 12, 2011

Last updated

Jul 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boris Epstein, MD., DONPI 1194718130

Title

Owner

Phone

(718) 680-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris Epstein

  • Adult Medicine Physician
  • E Brunswick, NJ
  • NPI 1194718130

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1841568326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD STE 104",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-698-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292800",
            "telephone_number": "718-680-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-680-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oceana Medical, PC
• Oceanbrook Medical Care PC
• Oceania Chemist Inc (Pharmacy 7)
• Oceania Pharmacy Inc
• Oceanside Pharmacy Inc.
• Oceanside Physical Therapy PC
• Oceanview Adult Day Care
• Oceanview Dental
• Oceanview Imaging PC

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.