Provider Demographics
NPI:1609894005
Name:SPINOWITZ, NOAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NOAM
Middle Name:
Last Name:SPINOWITZ
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 1:980 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-3320
Mailing Address - Country:US
Mailing Address - Phone:732-553-9729
Mailing Address - Fax:
Practice Address - Street 1:505 E 116TH ST STE 400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1776
Practice Address - Country:US
Practice Address - Phone:646-362-3178
Practice Address - Fax:646-362-3179
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234247207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02932850Medicaid
NY02932850Medicaid