Robert William Sponzo, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

117141 Issued in NY

Practice address

102 Park St
CR Wood Cancer Center
Glens Falls, NY 12801-4403

Phone

(518) 926-6620

Fax

(518) 926-1954

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: rsponzo29797@albanymed.direct-ci.com

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1073501193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-6620",
            "fax_number": "518-926-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "CR WOOD CANCER CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014403",
            "telephone_number": "518-926-6620",
            "fax_number": "518-926-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONZO",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "117141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110222929",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00432191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Spencer-Cisek, NP
• Lyndsay D Sperazzo, PT, DPT
• Michael Clark Spielberger, DMD
• Spinelli & Associates LLC
• Eileen B Spinelli, ANP
• Elizabeth M Spooner-Dunn, FNP
• Joyce M St. George, PT
• Tiffany St. Louis, L.C.S.W
• Stanton Rehab Centre
• Rebecca A Stark

• Medical Oncology Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.