Individual provider Active NPI

Philip Goncalves, PA-C

  • Physician Assistant
  • Dover, NJ
National Provider Identifier
1003343385
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00431500 Issued in NJ
Practice address
18 W Blackwell St
Dover, NJ 07801-3841
Phone
(973) 328-3344
Fax
(973) 328-6817
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00431500 NJ
Physician Assistant 363A00000X 25MP00431500 NJ Primary

Addresses

Primary practice location

18 W Blackwell St
Dover, NJ 07801-3841

Mailing address

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-3344

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, shared by 10 NPIs, 45 clinicians

Practice addresses (Care Compare)

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

4 Atno Ave
Morristown, NJ 07960-3802
Phone (973) 267-0002

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center,Inc Past Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

17 S Warren St
#0
Dover, NJ 07801

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

4 Atno Ave
Morristown, NJ 07960
Phone (973) 267-0002

238 Spring St
Newton, NJ 07860
Phone (973) 328-9100

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

95 Northfield Ave
Ste 1
West Orange, NJ 07052

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGDGAA/Endpoint/HGDGAA
  • Direct secure messaging: philip.goncalves@597174495543300.direct.elationemr.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1003343385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841",
            "telephone_number": "973-328-3344",
            "fax_number": "973-328-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841",
            "telephone_number": "973-328-3344",
            "fax_number": "973-328-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "PHILIP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00431500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00431500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

Verify at the official NPI Registry.