Individual provider Active NPI

Spencer Louis Ochner, PA-C

  • Physician Assistant
  • Glen Rock, NJ
National Provider Identifier
1386371599
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00716600 Issued in NJ
Practice address
266 Harristown Rd Ste 305
Glen Rock, NJ 07452-3321
Phone
(201) 475-9421
Fax
(201) 475-1555
NPI assigned
Aug 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00716600 NJ Primary

Addresses

Primary practice location

266 Harristown Rd Ste 305
Glen Rock, NJ 07452-3321

Mailing address

10 Ramapo Rd
Pompton Plains, NJ 07444-1307
Phone (973) 809-9084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000033 NJ Practitioner - Physician Assistant 8921454372 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00716600NJMDPhysician Assistant

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1386371599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RAMAPO RD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441307",
            "telephone_number": "973-809-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 305",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "201-475-9421",
            "fax_number": "201-475-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHNER",
        "first_name": "SPENCER",
        "middle_name": "LOUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-07",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00716600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.