Active NPI
Lateef Spencer
- Medical Physician Assistant
- Newark, NJ
National Provider Identifier
1700515285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 261286
- Practice address
- 5 Thomas St
Newark, NJ 07114-1976 - Phone
- (973) 424-3007
- NPI assigned
- Jun 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 261286 | NY | Primary |
Addresses
Primary practice location
5 Thomas St
Newark, NJ 07114-1976
Mailing address
5 Thomas St
Newark, NJ 07114-1976
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lateefspencer70@protonmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1700515285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 THOMAS ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071141976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 THOMAS ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071141976",
"telephone_number": "973-424-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "LATEEF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "261286",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lateefspencer70@protonmail.com",
"affiliation": "N",
"endpointDescription": "Direct access",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 Thomas St",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071141976",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.