Individual provider Active NPI

Mark L Spindler, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Hauppauge, NY
National Provider Identifier
1295856599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
493853-1 Issued in NY
Practice address
725 Veterans Memorial Highway
North County Complex BLDG 151
Hauppauge, NY 11788-6100
Phone
(631) 853-6410
Fax
(631) 853-6413
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

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
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 493853-1 NY Primary

Addresses

Primary practice location

725 Veterans Memorial Highway
North County Complex BLDG 151
Hauppauge, NY 11788-6100

Mailing address

53 Pebble LN
Deer Park, NY 11729-6228
Phone (631) 243-1243

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
493853-1NYMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295856599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PEBBLE LN",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296228",
            "telephone_number": "631-243-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VETERANS MEMORIAL HIGHWAY",
            "address_2": "NORTH COUNTY COMPLEX BLDG 151",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117886100",
            "telephone_number": "631-853-6410",
            "fax_number": "631-853-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDLER",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "493853-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.