Individual provider Active NPI

Marjorie Alice Spingler, SPEC. ED. TEACHER

  • Pediatrics Physician
  • Brooktondale, NY
National Provider Identifier
1821349416
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
CERT.# 370392 Issued in NY
Practice address
69 Middaugh Rd
Brooktondale, NY 14817-9754
Phone
(607) 277-0212
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X CERT.# 370392 NY Primary

Addresses

Primary practice location

69 Middaugh Rd
Brooktondale, NY 14817-9754

Mailing address

69 Middaugh Rd
Brooktondale, NY 14817-9754
Phone (607) 277-0212

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

State licenses

LicenseStateTypeSpecialty
CERT.# 370392NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1821349416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MIDDAUGH RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179754",
            "telephone_number": "607-277-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MIDDAUGH RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179754",
            "telephone_number": "607-277-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINGLER",
        "first_name": "MARJORIE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "SPEC. ED. TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "CERT.# 370392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooktondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.