MEDICARE: DR. NINA EPSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	25MA08709700	NJ
2	208000000X	Pediatrics Physician	216238	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245317676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NINA EPSTEIN M.D.

Provider Business Mailing Address
First Line	:	401 ROUTE 73 N BLDG 10, SUITE 320
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053
Country	:	US
Telephone Number	:	856-872-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 N WASHINGTON AVE
Second Line	:
City	:	BERGENFIELD
State	:	NJ
Zip	:	07621-1751
Country	:	US
Telephone Number	:	201-384-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/01/2025

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