Individual provider Active NPI

Spencer B. Hamilton, CIEC #23060

  • Home Modifications Contractor
  • Linwood, NJ
National Provider Identifier
1174312078
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
13VH04976900 Issued in NJ
Practice address
104 Shore Rd
Linwood, NJ 08221-2507
Phone
(609) 703-1311
Fax
(609) 703-1311
NPI assigned
May 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 13VH04976900 NJ Primary

Addresses

Primary practice location

104 Shore Rd
Linwood, NJ 08221-2507

Mailing address

104 Shore Rd
Linwood, NJ 08221-2507
Phone (609) 703-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13VH04976900NJMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Green Energy LLC CurrentSince May 11, 2025 Accepting new patients
Shore Green Energy LLC Home Modifications CurrentSince May 11, 2025 Accepting new patients

Organizations & group practices 2

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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1174312078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212507",
            "telephone_number": "609-703-1311",
            "fax_number": "609-703-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212507",
            "telephone_number": "609-703-1311",
            "fax_number": "609-703-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SPENCER",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "CIEC  #23060",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NJ",
            "license": "13VH04976900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.