MEDICARE: DR. KATE MELANIE SPIELHOLZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MA54280	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518012699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATE MELANIE SPIELHOLZ MD

Provider Business Mailing Address
First Line	:	703 PINEHURST CT
Second Line	:	UNIT3
City	:	UNION
State	:	NJ
Zip	:	07083-8787
Country	:	US
Telephone Number	:	908-688-1538
Fax Number	:	908-687-4747

Provider Business Practice Location Address
First Line	:	172 HALSTED ST
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-2663
Country	:	US
Telephone Number	:	973-678-3133
Fax Number	:	973-678-6305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/14/2022

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