Jason Spitalnik

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT01182 Issued in RI

Practice address

28 Nooseneck Hill Rd
Unit 3
West Greenwich, RI 02817-1568

Phone

(401) 385-9530

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jason Spitalnik Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1235326091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COUNTY ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401801",
            "telephone_number": "401-714-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NOOSENECK HILL RD",
            "address_2": "UNIT 3",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171568",
            "telephone_number": "401-385-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALNIK",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "MT01182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "SPITALNIK",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in West Greenwich, RI
• Providers in West Greenwich, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.