Healthcare Provider Details

I. General information

NPI: 1063845170
Provider Name (Legal Business Name): NOEMI SPINAZZI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2013
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 QUAKERBRIDGE RD
HAMILTON NJ
08619-1271
US

IV. Provider business mailing address

3575 QUAKERBRIDGE RD
HAMILTON NJ
08619-1271
US

V. Phone/Fax

Practice location:
  • Phone: 609-631-2811
  • Fax: 609-631-2850
Mailing address:
  • Phone: 609-631-2811
  • Fax: 609-631-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA126887
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA12518200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: