Healthcare Provider Details

I. General information

NPI: 1063336733
Provider Name (Legal Business Name): OUTRO MEDICAL EAST, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 FRONTAGE RD FL 1
HAMPTON NJ
08827-4031
US

IV. Provider business mailing address

49 ELIZABETH ST FL 5
NEW YORK NY
10013-4636
US

V. Phone/Fax

Practice location:
  • Phone: 949-649-4093
  • Fax: 949-818-5372
Mailing address:
  • Phone: 949-649-4093
  • Fax: 949-818-5372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY ESTERMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 949-649-4093