Individual provider Active NPI

Jill Ellen Spiegel, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1912291758
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162943 Issued in NY
Practice address
173 West 78TH Street
Suite 11B
New York, NY 10024-6707
Phone
(212) 877-7537
Fax
(212) 877-7537
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 162943 NY Primary

Addresses

Primary practice location

173 West 78TH Street
Suite 11B
New York, NY 10024-6707

Mailing address

173 West 78TH Street
Suite 11B
New York, NY 10024-6707
Phone (212) 877-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162943NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1912291758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WEST 78TH STREET",
            "address_2": "SUITE 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246707",
            "telephone_number": "212-877-7537",
            "fax_number": "212-877-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WEST 78TH STREET",
            "address_2": "SUITE 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246707",
            "telephone_number": "212-877-7537",
            "fax_number": "212-877-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.