Active NPI
Charles L Sprung, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Closter, NJ
National Provider Identifier
1467616052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 33069
- Practice address
- 12 N Star Rd
Closter, NJ 07624-2306 - Phone
- (201) 768-8816
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 33069 | FL | Primary |
Addresses
Primary practice location
12 N Star Rd
Closter, NJ 07624-2306
Mailing address
Mevo Benin 30
Jerusalem, ISRAEL 91120
IL
Phone 97225665948
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33069 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1467616052",
"addresses": [
{
"country_code": "IL",
"country_name": "Israel",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "MEVO BENIN 30",
"city": "JERUSALEM",
"state": "ISRAEL",
"postal_code": "91120",
"telephone_number": "97225665948",
"fax_number": "97225671413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N STAR RD",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076242306",
"telephone_number": "201-768-8816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRUNG",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "33069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Closter, NJ
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spine and Health Center of Closter PC
- Shelby Rose Sprung
- Galit G. Steinberg, M.D
- Molly Katherine Stremba, LCSW
- Jennifer Anne Surak-Zammitti, LCSW
- Joelle Swistak, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.