Provider Demographics
NPI:1356442909
Name:SPERLING, HOWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:J
Last Name:SPERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 241
Mailing Address - Street 2:
Mailing Address - City:LEEDS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08220-0241
Mailing Address - Country:US
Mailing Address - Phone:609-748-8200
Mailing Address - Fax:609-748-9200
Practice Address - Street 1:162 SOUTH NEW YORK RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205
Practice Address - Country:US
Practice Address - Phone:609-748-8200
Practice Address - Fax:609-748-9200
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA042924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0011215Medicaid
080104104OtherRAILROAD MEDICARE
NJ120423Medicare ID - Type Unspecified
NJ0011215Medicaid