=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992865141
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WAYNE EPSTEIN DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 12/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1009 ST. GEORGES AVE
-----------------------------------------------------
City | COLONIA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-636-2877
-----------------------------------------------------
Fax | 732-636-7418
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1009 ST. GEORGES AVE
-----------------------------------------------------
City | COLONIA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-636-2877
-----------------------------------------------------
Fax | 732-636-7418
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0131X
-----------------------------------------------------
Taxonomy Name | Foot Surgery Podiatrist
-----------------------------------------------------
License Number | 25MD001997
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------