Individual provider Active NPI

Theodore Erich Spiro, MD

  • Internal Medicine Physician
  • Pennington, NJ
National Provider Identifier
1285807800
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA053883600 Issued in NJ
Practice address
11 Benjamin TRL
Pennington, NJ 08534-9747
Phone
(609) 737-5118
Fax
(609) 737-8503
NPI assigned
Apr 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA05383600 NJ
Internal Medicine Physician 207R00000X 25MA053883600 NJ Primary

Addresses

Primary practice location

11 Benjamin TRL
Pennington, NJ 08534-9747

Mailing address

11 Benjamin TRL
Pennington, NJ 08534-9747
Phone (609) 737-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA053883600NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1285807800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BENJAMIN TRL",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085349747",
            "telephone_number": "609-737-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BENJAMIN TRL",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085349747",
            "telephone_number": "609-737-5118",
            "fax_number": "609-737-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRO",
        "first_name": "THEODORE",
        "middle_name": "ERICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA05383600",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA053883600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.