Individual provider Active NPI

David A Sperling, M.D.

  • Pediatric Adolescent Medicine Physician
  • Randolph, NJ
National Provider Identifier
1831152206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA02144500 Issued in NJ
Practice address
14 Iron Forge LN
Randolph, NJ 07869-4547
Phone
(973) 366-4141
Fax
(973) 366-0041
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA02144500 NJ Primary

Addresses

Primary practice location

14 Iron Forge LN
Randolph, NJ 07869-4547

Mailing address

14 Iron Forge LN
Randolph, NJ 07869-4547
Phone (973) 366-4141

Other identifiers 1

IdentifierTypeStateIssuer
25MA02144500OtherNJMEDICAL DOCTOR LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001777 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6204132111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831152206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 IRON FORGE LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694547",
            "telephone_number": "973-366-4141",
            "fax_number": "973-366-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 IRON FORGE LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694547",
            "telephone_number": "973-366-4141",
            "fax_number": "973-366-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLING",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA02144500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR LICENSE",
            "identifier": "25MA02144500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.