JACQUELINE M SPENCER DO PC – NPI #1386732774
Family Medicine

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.

JACQUELINE M SPENCER DO PC is a provider located in NORTH BABYLON, NY. NPPES has assigned the NPI number 1386732774 to JACQUELINE M SPENCER DO PC on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Jul 01, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELINE M SPENCER DO PC below.

NPI Profile for
JACQUELINE M SPENCER DO PC

NPI Number
1386732774
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACQUELINE M SPENCER DO PC
Primary location
1452 DEER PARK AVE
NORTH BABYLON, NY 11703
Phone: (631) 254-8500 Fax: (631) 254-8503
Mailing address
4567 CROSSROADS PARK DR.
LIVERPOOL, NY 13088
Phone: (315) 295-2100 Fax: (315) 295-2125
Organization Subpart
No
Authorized Official
JACQUELINE SPENCER
PRESIDENT
Phone: (631) 254-8500
Updated
Identifiers

Identifiers for JACQUELINE M SPENCER DO PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02109855
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 214310

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.