Provider Demographics
NPI:1790876142
Name:SPILER, IRA J (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:J
Last Name:SPILER
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 1:16 MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2911
Mailing Address - Country:US
Mailing Address - Phone:732-718-8846
Mailing Address - Fax:
Practice Address - Street 1:3542 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1050
Practice Address - Country:US
Practice Address - Phone:732-821-5562
Practice Address - Fax:328-215-3477
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA028129207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0609200Medicaid
NJC54698Medicare UPIN
NJ0609200Medicaid