Provider Demographics
NPI:1164686002
Name:HEPINSTALL, MATTHEW STEWART (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEWART
Last Name:HEPINSTALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 77TH ST FL 11
Mailing Address - Street 2:PARK LENOX ORTHOPAEDICS, PC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-434-6880
Mailing Address - Fax:212-434-6888
Practice Address - Street 1:130 E 77TH ST FL 11
Practice Address - Street 2:PARK LENOX ORTHOPAEDICS, PC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-434-6880
Practice Address - Fax:212-434-6888
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242645207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG100007158Medicare PIN
NYA400017330Medicare PIN
NYA100017326Medicare PIN
NYG400007159Medicare PIN