MAXINE SPICER (NPI# 1992881718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992881718 |
| Entity Type | Individual |
| Full Name | MAXINE SPICER |
| Credential | M.D. |
| Practice Address |
100 S Jersey Ave Unit 16 East Setauket NY 11733-2036 |
| Practice Telephone | 6316896400 |
| Mailing Telephone | 6316896400 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | 180674 | NY | Allopathic & Osteopathic Physicians |
| X | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
180674 | NY | Allopathic & Osteopathic Physicians |
| X | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
180674 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
100 S JERSEY AVE UNIT 16 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992119812 | Chris Raju | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-06-18 |
| 1881004141 | Jenna Kaiserman | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-05-07 |
| 1164841151 | Catherine Beecher | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-04-07 |
| 1871848267 | Evangeline Marion Goodman | Nurse Practitioner | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2012-07-20 |
| 1932477262 | Valerie Beck | Physician Assistant | 100 S Jersey Ave Unit 16, East Setauket, NY 11733 | 2011-12-01 |
| 1083938575 | Jane So | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2010-03-26 |
| 1104903293 | Philip Schoenfeld | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2006-11-01 |
| 1679659346 | Deborah Davenport | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417372327 | Jennifer Hearhan Choi | Obstetrics & Gynecology | 6 Technology Dr Ste 200, East Setauket, NY 11733-4079 | 2014-02-28 |
| 1437503745 | Ying Xin Liu | Obstetrics & Gynecology | 6 Technology Dr, East Setauket, NY 11733-4079 | 2016-04-22 |
| 1992119812 | Chris Raju | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-06-18 |
| 1881004141 | Jenna Kaiserman | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-05-07 |
| 1164841151 | Catherine Beecher | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2014-04-07 |
| 1346512761 | Melissa Peskin-stolze | Obstetrics & Gynecology | 140 Bellemeade Rd, Suite E, East Setauket, NY 11733-6400 | 2012-02-01 |
| 1497044457 | Xun Lian | Obstetrics & Gynecology | 4 Technology Dr, East Setauket, NY 11733-4080 | 2011-03-30 |
| 1083938575 | Jane So | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, East Setauket, NY 11733-2036 | 2010-03-26 |
| 1144455882 | Jennifer Marie Blaber | Obstetrics & Gynecology | 4 Technology Dr, East Setauket, NY 11733-4080 | 2009-05-26 |
| 1669636437 | Corinne Yeh | Obstetrics & Gynecology | 6 Technology Dr, Suite 200, East Setauket, NY 11733-4079 | 2008-07-10 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.