Individual provider Active NPI

Joseph B Phillips Jr., FNP-C

  • Family Nurse Practitioner
  • Woodbury, NJ
National Provider Identifier
1003287038
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01412400 Issued in NJ
Practice address
1916 Asbury Ave
Woodbury, NJ 08096-4314
Phone
(856) 264-3394
NPI assigned
Oct 16, 2015
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01412400 NJ Primary

Addresses

Primary practice location

1916 Asbury Ave
Woodbury, NJ 08096-4314

Mailing address

1916 Asbury Ave
Woodbury, NJ 08096-4314
Phone (856) 264-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01412400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Health Connections PC CurrentSince Aug 1, 2023 Accepting new patients
24 Hour Care LLC Past Accepting new patients
Tri-County Health Connections PC Past Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136

1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1003287038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ASBURY AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964314",
            "telephone_number": "856-264-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 ASBURY AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964314",
            "telephone_number": "856-264-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01412400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.