Healthcare Provider Details

I. General information

NPI: 1669191987
Provider Name (Legal Business Name): MATTHEW A SPIEGEL MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E 77TH ST
NEW YORK NY
10075-2059
US

IV. Provider business mailing address

536 GREEN PL
WOODMERE NY
11598-1923
US

V. Phone/Fax

Practice location:
  • Phone: 315-869-7246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW A. SPIEGEL
Title or Position: OWNER
Credential: MD
Phone: 917-694-2212