Healthcare Provider Details

I. General information

NPI: 1992865141
Provider Name (Legal Business Name): WAYNE EPSTEIN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 ST. GEORGES AVE
COLONIA NJ
07067
US

IV. Provider business mailing address

1009 ST. GEORGES AVE
COLONIA NJ
07067
US

V. Phone/Fax

Practice location:
  • Phone: 732-636-2877
  • Fax: 732-636-7418
Mailing address:
  • Phone: 732-636-2877
  • Fax: 732-636-7418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number25MD001997
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: