Ellenville Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

095044 Issued in NY

Legal business name

ELLENVILLE MEDICAL GROUP

Practice address

60 Center St
Ellenville, NY 12428-1313

Phone

(845) 647-3354

Fax

(845) 647-7487

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter L Sperling, M.D.

Title

Owner

Phone

(845) 647-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831222058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CENTER ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281313",
            "telephone_number": "845-647-3354",
            "fax_number": "845-647-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTER ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281313",
            "telephone_number": "845-647-3354",
            "fax_number": "845-647-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENVILLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPERLING",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-647-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "095044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dooley, RPH, LMT
• Brianna Ducker
• Ellenville Central School District
• Ellenville Emergency Medical Associates PLLC
• Ellenville First Aid & Rescue Squad Inc
• Bruce Engholm, SLP
• Erh Specialty Practice
• Lina Maria Escobar, O.D.
• Finding My Solutions LLC
• Julie Beth Fineman, PT

• Internal Medicine Physician in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.