Jaime Cepeda (NPI# 1811932965, PAC ID# 9537264155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1811932965 |
| PAC ID by PECOS | 9537264155 |
| Professional Enrollment ID | I20070410000370 |
| Full Name | Jaime Cepeda |
| Organization Legal Name | TRI STATE SURGICAL ASSOCIATES PLLC |
| Address |
384 Crystal Run Rd Suite 201 Middletown NY 10941-4073 |
| Phone Number | 8456928780 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1254330509 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330135 | BON SECOURS COMMUNITY HOSPITAL |
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Westage Business Ctr Dr, Suite 119, Fishkill, NY 12524-2271 | 8456928780 | TRI STATE SURGICAL ASSOCIATES PLLC |
| 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 | 8456928780 | TRI STATE SURGICAL ASSOCIATES PLLC |
| 161 E Main St, Suite 301, Port Jervis, NY 12771-2113 | 8456928780 | TRI STATE SURGICAL ASSOCIATES PLLC |
| Organization Legal Name | TRI STATE SURGICAL ASSOCIATES PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha M Fuller | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Peter H Kwon | General Surgery | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Lydell Cecil Lettsome | General Surgery | Tri State Surgical Associates Pllc | 156 Route 59, Suite A2, Suffern, NY 10901-5013 |
| Wayne M Weiss | General Surgery | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Jody Machugh | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Ramon E Rivera | General Surgery | Tri State Surgical Associates Pllc | 156 Route 59, Suite A2, Suffern, NY 10901-5013 |
| Laura M De Andrade | Nurse Practitioner | Tri State Surgical Associates Pllc | 156 Route 59, Suite A2, Suffern, NY 10901-5013 |
| Elizabeth Handler | Nurse Practitioner | Tri State Surgical Associates Pllc | 156 Route 59, Suite A2, Suffern, NY 10901-5013 |
| Jeanne Karson | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Kristin A Giudici | Psychiatry | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Street Address |
384 CRYSTAL RUN RD SUITE 201 |
| City | MIDDLETOWN |
| State | NY |
| Zip | 10941-4073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha M Fuller | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Peter H Kwon | General Surgery | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Wayne M Weiss | General Surgery | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Jody Machugh | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Jeanne Karson | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Kristin A Giudici | Psychiatry | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Lauren L Lundy | Nurse Practitioner | Tri State Surgical Associates Pllc | 384 Crystal Run Rd, Suite 201, Middletown, NY 10941-4073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Stoll Iii | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Mark Fenzl | Diagnostic Radiology | Upstate Radiology PC | 779 Route 211 E, Middletown, NY 10941-1459 |
| Kajal Saha | Neurosurgery | 701 Silver Lake Scotchtown Rd, Middletown, NY 10941-1539 | |
| Michael Lance Wodka | Podiatry | 30 Industrial Dr, Middletown, NY 10941-1662 | |
| Walter E Tonyes | Chiropractic | 633 Route 211 E, Middletown, NY 10941-1780 | |
| Bela A Gesztesi Iii | Physical Therapy | 633 Route 211 E, Suite 2, Middletown, NY 10941-1781 | |
| Joseph Norowitz | Optometry | 1 N Galleria Dr, Suite 126, Middletown, NY 10941-3028 | |
| Diana Rubin | Clinical Social Worker | 6 Country Side Ct, Middletown, NY 10941-3161 | |
| Stanley M Goldstein | Psychologist, Clinical | 1050 Route 211 E, Middletown, NY 10941-3726 | |
| Mahmoud Salem | Hospitalist | Crystal Run Healthcare Physicians LLP | 300 Crystal Run Rd, Middletown, NY 10941-4013 |
| Find all physicians in zip 10941 | |||
| City | MIDDLETOWN |
| Zip Code | 10941 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MIDDLETOWN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jaime Cepeda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.