Individual
JAIME CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-4073
(845) 692-8780
Mailing address
384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-4073
(845) 692-8780
(845) 692-3439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
229029
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02791564
—
NY
01
—
WNW101
MEDICARE
NY
Enumeration date
06/20/2006
Last updated
09/16/2025
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