JACQUELINE M SPENCER DO PC
NPI 1386732774
Family Medicine in North Babylon, NY

Active since October 11, 2006
1452 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 254-8500(631) 254-8503 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline M Spencer Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE M SPENCER DO PC (NPI 1386732774) is a healthcare organization registered as a family medicine in North Babylon, New York and active in the NPI registry since October 2006. The organization lists Jacqueline M Spencer, President, as its authorized official.

NPPES Registry Identity

NPI1386732774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACQUELINE M SPENCER DO PC
Location Address1452 DEER PARK AVENorth Babylon, NY 11703
Mailing Address4567 Crossroads Park Dr.Liverpool, NY 13088 · (315) 295-2100 · Fax (315) 295-2125
Fax(631) 254-8503
Organization SubpartNo
Authorized OfficialJacqueline M SpencerPresident · (631) 254-8500
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 1, 2010
NPI 1386732774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 214310
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1452 DEER PARK AVE, North Babylon, NY 11703

Other Identifiers 5

Medicaid02109855NY
Medicare PINWANT61
Medicare UPINH25614
Medicare UPINH25614NY
Medicare PINWANT61NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Surgery
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Family Medicine (Adult Medicine)
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Family Medicine
1452 DEER PARK AVE
NORTH BABYLON, NY 11703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline M Spencer Do PC's NPI number?

The NPI number for Jacqueline M Spencer Do PC is 1386732774. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Jacqueline M Spencer Do PC located?

Jacqueline M Spencer Do PC is located at 1452 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 254-8500.

What is Jacqueline M Spencer Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline M Spencer Do PC was last updated on July 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.