Nicholas J Spagnola, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004875L Issued in PA

Practice address

829 Persimmon LN
Langhorne, PA 19047-1777

Phone

(717) 757-6920

Fax

(717) 406-1923

NPI assigned

Feb 7, 2006

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 Osteopathy

Practice roles

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.

• Memorial Enterprises Inc

  • Family Medicine Physician
  • York, PA
  • NPI 1275734345
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1265404818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 PERSIMMON LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471777",
            "telephone_number": "717-757-6920",
            "fax_number": "717-406-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 PERSIMMON LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471777",
            "telephone_number": "717-757-6920",
            "fax_number": "717-406-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLA",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004875L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "039846",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00863283",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myrna L Soriano, M.D.
• Paul Brian Soriano
• Sydney B Sorkin
• Ryan James Soto
• Sound Choice Hearing Aid Centers Inc.
• Jennifer Beth Sparks
• Carly Spear
• Edward P Spiegel, M.D.
• Kathleen Susan Spillane, M.D.
• Anna Leigh Spingler

• Family Medicine Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.