Active NPI
Steven Spencer, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1023057007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD427648
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1194481275
-
- Anesthesiology Physician
- Jacksonville, NC
- NPI 1689855900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.