Individual provider Active NPI

Nancy Sprague Speez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
National Provider Identifier
1962581009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07162700 Issued in NJ
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

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
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

IdentifierTypeStateIssuer
0095338MedicaidNJ

Other names 1

  • Nancy Speez Liebson Other name

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.

Verify at the official NPI Registry.