Sydney Zane Spiesel, PHD,MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

018154 Issued in CT

Practice address

8 Lunar Dr
Woodbridge, CT 06525-2352

Phone

(203) 397-5211

Fax

(203) 397-1875

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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.

• Sydney Z Spiesel PHD MD LLC

  • Pediatrics Physician
  • Woodbridge, CT
  • NPI 1790959146
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376678516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LUNAR DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252352",
            "telephone_number": "203-397-5211",
            "fax_number": "203-397-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LUNAR DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252352",
            "telephone_number": "203-397-5211",
            "fax_number": "203-397-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIESEL",
        "first_name": "SYDNEY",
        "middle_name": "ZANE",
        "name_prefix": "Dr.",
        "credential": "PHD,MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "018154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NARCOTIC IDENTIFIER",
            "identifier": "698",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig M Smith
• Amanda Michelle Snelgrove, COTA/L
• Abigail Soloway, LPC-A
• Solutions Counseling and Consultation, LLC
• Soma Life Studio LLC
• Stable Grounds LLC
• Sherin Sue Stahl, PH.D.
• Monica Ann Starr, APRN
• State of CT Regional HS Dist 5
• Swift Eye Care PLLC

• Pediatric Adolescent Medicine Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.