Active NPI
Nancy Sprague Speez, M.D.
- Physical Medicine & Rehabilitation Physician
- Teaneck, NJ
National Provider Identifier
1962581009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MA07162700
- Practice address
- 765 Teaneck Rd
Teaneck, NJ 07666-4248 - Phone
- (201) 833-2211
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA07162700 | NJ | Primary |
Addresses
Primary practice location
765 Teaneck Rd
Teaneck, NJ 07666-4248
Mailing address
520 Amsterdam Ave
Ridgewood, NJ 07450-5402
Phone (201) 670-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0095338 | Medicaid | NJ |
Other names 1
- Nancy Speez Liebson
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962581009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 AMSTERDAM AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074505402",
"telephone_number": "201-670-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664248",
"telephone_number": "201-833-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEEZ",
"first_name": "NANCY",
"middle_name": "SPRAGUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA07162700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095338",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "LIEBSON",
"middle_name": "SPEEZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.