Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lateef Spencer

Individual provider Medical Physician Assistant · NPI 1700515285

Lateef Spencer is a Medical Physician Assistant in Newark, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

5 Thomas St
Newark, NJ 07114-1976
Phone: (973) 424-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 261286 (NY)

Record details

NPI number1700515285
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 2, 2022
Mailing address5 Thomas St, Newark, NJ 07114-1976

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