Provider Demographics
NPI:1306009584
Name:ATLANTIC CAPE ORTHOPEDICS, P.A.
Entity Type:Organization
Organization Name:ATLANTIC CAPE ORTHOPEDICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:I
Authorized Official - Credentials:DO
Authorized Official - Phone:609-272-9700
Mailing Address - Street 1:950 TILTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1235
Mailing Address - Country:US
Mailing Address - Phone:609-272-9700
Mailing Address - Fax:609-272-9701
Practice Address - Street 1:950 TILTON RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1235
Practice Address - Country:US
Practice Address - Phone:609-272-9700
Practice Address - Fax:609-272-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05756500207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ52280000Medicaid
NJ101446Medicare PIN
NJ52280000Medicaid