Individual provider Active NPI

Steven Spencer, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023057007
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD427648 Issued in PA
Practice address
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706
Phone
(215) 588-1676
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD427648 PA Primary

Addresses

Primary practice location

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706

Mailing address

418 W Island View Dr
Hampstead, NC 28443-3833
Phone (215) 588-1676

Other practice location 1

500 Old York Rd
Suite 203
Jenkintown, PA 19046-2852
Phone (215) 886-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210617003108 NC Practitioner - Internal Medicine 8325051253 Reassigns benefits to 1 organization
I20240211000082 IL Practitioner - Internal Medicine 8325051253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Memorial Hospital, Inc. Past Accepting new patients
Dr Ala Stanford Center for Health Equity Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1023057007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W ISLAND VIEW DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433833",
            "telephone_number": "215-588-1676",
            "fax_number": "215-886-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "215-588-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Old York Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462852",
            "country_code": "US",
            "telephone_number": "215-886-0174",
            "fax_number": "215-886-9217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD427648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.