1144213646 NPI number — SCOTT K. EPSTEIN M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144213646 NPI number — SCOTT K. EPSTEIN M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

EPSTEIN

Provider First Name:

SCOTT

Provider Middle Name:

K.

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1144213646

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/03/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1143 NORTHERN BLVD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SOUTH ABINGTON TOWNSHIP

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

18411-2221

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

570-253-1005

Provider Business Mailing Address Fax Number:

570-253-7868

Provider First Line Business Practice Location Address:

601 PARK ST

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

HONESDALE

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

18431-1498

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

570-253-8100

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

08/30/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 204R00000X , with the licence number:  MD047523L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 2081P2900X , with the licence number: MD047523L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208100000X , with the licence number: MD047523L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 250004789 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 078708 . This is a "BLUE CARE HMO (FPH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 1093735 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 144936 . This is a "BLUE CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1645055 . This is a "UNITEDHEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 001479212-0001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 14233-1067 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 534362 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".