Individual provider Active NPI

Spencer James Rowley, CRPA

  • Peer Specialist
  • East Syracuse, NY
National Provider Identifier
1245081801
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
6826 Collamer Rd
East Syracuse, NY 13057-9760
Phone
(315) 880-1717
NPI assigned
Apr 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NY Primary

Addresses

Primary practice location

6826 Collamer Rd
East Syracuse, NY 13057-9760

Mailing address

329 N Salina St
Syracuse, NY 13203-1755
Phone (315) 880-1717

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

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245081801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-880-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 COLLAMER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579760",
            "telephone_number": "315-880-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.