Organization Active NPI

Robert Spitz MD, Dba Montauk GYN

  • Obstetrics & Gynecology Nurse Practitioner
  • New London, CT
National Provider Identifier
1285780072
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
001821 Issued in CT
Legal business name
ROBERT SPITZ MD, DBA MONTAUK GYN
Practice address
342 Montauk Ave
New London, CT 06320-4706
Phone
(860) 442-9646
Fax
(860) 439-0747
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Merrilyn McNatt, APRN
Title
Aprn
Phone
(860) 442-9646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0001X 001821 CT Primary

Addresses

Primary practice location

342 Montauk Ave
New London, CT 06320-4706

Mailing address

342 Montauk Ave
New London, CT 06320-4706
Phone (860) 442-9646

Other identifiers 1

IdentifierTypeStateIssuer
004216356MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Robert M Spitz MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1285780072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204706",
            "telephone_number": "860-442-9646",
            "fax_number": "860-439-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204706",
            "telephone_number": "860-442-9646",
            "fax_number": "860-439-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SPITZ MD, DBA MONTAUK GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MCNATT",
        "authorized_official_first_name": "MERRILYN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-442-9646",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CT",
            "license": "001821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004216356",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.