NPIMap

Individual provider Active NPI

Shilpa Reddy

  • Family Medicine Physician
  • Phillipsburg, NJ
National Provider Identifier
1013367416
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10641400 Issued in NJ
Practice address
200 Strykers Rd Ste 1
Phillipsburg, NJ 08865-9488
Phone
(908) 847-6568
Fax
(866) 278-3009
NPI assigned
Jun 16, 2016
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10641400 NJ Primary

Addresses

Primary practice location

200 Strykers Rd Ste 1
Phillipsburg, NJ 08865-9488

Mailing address

185 Roseberry St
Farley BLDG., 2ND Floor
Phillipsburg, NJ 08865-2748
Phone (908) 847-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923000131 NJ Practitioner - Family Practice 7517297344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone (908) 847-1035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC Family Medicine CurrentSince Jul 30, 2019 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Jul 30, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 300
Phillipsburg, NJ 08865
Phone (908) 454-6303

207 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-6568

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

200 Strykers Rd
Ste 1
Phillipsburg, NJ 08865
Phone (908) 847-6568

409 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0029

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1013367416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ROSEBERRY ST",
            "address_2": "FARLEY BLDG., 2ND FLOOR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-847-2621",
            "fax_number": "908-847-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STRYKERS RD STE 1",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659488",
            "telephone_number": "908-847-6568",
            "fax_number": "866-278-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHILPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10641400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.