Individual provider Active NPI

Roger B Spencer, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1265521892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
241231-1 Issued in NY
Practice address
506 6TH St
New York Methodist Hospital
Brooklyn, NY 11215-3609
Phone
(718) 780-3000
Fax
(845) 790-2675
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 241231-1 NY Primary

Addresses

Primary practice location

506 6TH St
New York Methodist Hospital
Brooklyn, NY 11215-3609

Mailing address

2 Catharine St
P.O. BPX 550
Poughkeepsie, NY 12601-3100
Phone (866) 868-8416

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061202000101 NY Practitioner - Anesthesiology 0244239135 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical PCGroup PAC ID 6507033834, 2 clinicians
Igor Amigud Physician P CGroup PAC ID 8729016878, 7 clinicians
Specialty Anesthesia, PLLCGroup PAC ID 7517040066, 2 clinicians

Practice addresses (Care Compare)

21333 39TH Ave
Suite 248
Bayside, NY 11361-2092
Phone (718) 428-5333

2569 Ocean Ave
Brooklyn, NY 11229-4576
Phone (718) 332-3100

860 5TH Ave
1B
New York, NY 10065-5856
Phone (212) 724-7246

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as individual
Quality
72.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241231-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Anesthesia, PLLC Anesthesiology CurrentSince Dec 15, 2018 Accepting new patients
Igor Amigud Physician P.C. CurrentSince Dec 22, 2019 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Mar 20, 2024 Accepting new patients
Emusc, LLC CurrentSince Feb 26, 2018 Accepting new patients
Summit Medical PC Anesthesiology CurrentSince Dec 1, 2011 Accepting new patients
Emusc, LLC Anesthesiology CurrentSince Feb 26, 2018 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC CurrentSince Oct 1, 2014 Accepting new patients
Emusc, LLC Current Accepting new patients
Park East Pain Management Suite, PLLC PastSince Dec 15, 2018 Accepting new patients

Locations

21333 39th Ave
Ste 248
Bayside, NY 11361
Phone (718) 428-5333

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

1360 Hylan Blvd
Staten Island, NY 10305
Phone (718) 987-7300

1534 Victory Blvd
Staten Island, NY 10314
Phone (718) 447-0055

373 Manor Rd
Staten Island, NY 10314

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265521892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P.O. BPX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "866-868-8416",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "address_2": "NEW YORK METHODIST HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "718-780-3000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ROGER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "241231-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.