Provider Demographics
NPI:1528187291
Name:DR. ARNOLD A. SPERLING
Entity Type:Organization
Organization Name:DR. ARNOLD A. SPERLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:EDD,APN
Authorized Official - Phone:201-791-6167
Mailing Address - Street 1:33-01 FAIR LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4324
Mailing Address - Country:US
Mailing Address - Phone:201-791-6167
Mailing Address - Fax:201-791-6167
Practice Address - Street 1:33-01 FAIR LAWN AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4324
Practice Address - Country:US
Practice Address - Phone:201-791-6167
Practice Address - Fax:201-791-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00022200363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR32647Medicare UPIN