Active NPI
Philip Goncalves, PA-C
- Physician Assistant
- Dover, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00431500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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, Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zufall Health Center, Inc | Current | Accepting new patients | |
| Zufall Health Center, Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/HGDGAA/Endpoint/HGDGAA
- 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.
-
- Community/Retail Pharmacy
- Dover, NJ
- NPI 1285324673
-
- Federally Qualified Health Center (FQHC)
- Dover, NJ
- NPI 1548515091
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
-
- Community Health Clinic/Center
- Dover, NJ
- NPI 1902990880
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.