Active NPI
Robert M Spitz ,MD
- Specialist
- New London, CT
National Provider Identifier
1861552366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ROBERT M SPITZ ,MD
- Practice address
- 342 Montauk Ave
New London, CT 06320-4706 - Phone
- (860) 442-9646
- Fax
- (860) 439-0747
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert M Spitz, MD
- Title
- Owne
- Phone
- (860) 442-9646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
342 Montauk Ave
New London, CT 06320-4706
Mailing address
342 Montauk Ave
New London, CT 06320-4706
Phone (860) 442-9646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50RMSPITZCT01 | Other | CT | ANTHEM BLUE COSS |
| DG6347 | Other | CT | RAILROAD MEDICARE |
| 004216356 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Robert M Spitz MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Nurse Practitioner
- New London, CT
- NPI 1285780072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1861552366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204706",
"telephone_number": "860-442-9646",
"fax_number": "860-439-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 MONTAUK AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204706",
"telephone_number": "860-442-9646",
"fax_number": "860-439-0747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT M SPITZ ,MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "SPITZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNE",
"authorized_official_telephone_number": "860-442-9646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE COSS",
"identifier": "50RMSPITZCT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG6347",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004216356",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.