Healthcare Provider Details

I. General information

NPI: 1922000793
Provider Name (Legal Business Name): MATTHEW D EPSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SADDLE RD FIRST FLOOR
CEDAR KNOLLS NJ
07927-1902
US

IV. Provider business mailing address

8 SADDLE RD FIRST FLOOR
CEDAR KNOLLS NJ
07927-1902
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-9393
  • Fax: 973-540-0472
Mailing address:
  • Phone: 973-267-9393
  • Fax: 973-540-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number25MA06940100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierP1856058
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerOXFORD INS.
# 2
Identifier5711542
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerAETNA INS.
# 3
Identifier137679
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerCHN INS.
# 4
Identifier0994157003
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerCIGNA INS.
# 5
Identifier290011815
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerRAILROAD MEDICARE
# 6
Identifier222233003
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerHORIZON BC
# 7
Identifier6V9771
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerEMPIRE HEALTH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: