Basic Information
Provider Information
NPI: 1265964134
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIEGEL
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 273
Address2:  
City: WHIPPANY
State: NJ
PostalCode: 079810273
CountryCode: US
TelephoneNumber: 9735358355
FaxNumber: 9735358353
Practice Location
Address1: 568 ROUTE 10 W
Address2:  
City: WHIPPANY
State: NJ
PostalCode: 079811516
CountryCode: US
TelephoneNumber: 9735358355
FaxNumber: 9735358353
Other Information
ProviderEnumerationDate: 03/30/2017
LastUpdateDate: 03/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X26NJ00719400NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home