Active NPI
Nishita Philip
- Dentist
- Feasterville Trevose, PA
National Provider Identifier
1053970749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042201
- Practice address
- 826 Bustleton Pike Ste 105
Feasterville Trevose, PA 19053-6002 - Phone
- (609) 416-8767
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042201 | PA | Primary |
Addresses
Primary practice location
826 Bustleton Pike Ste 105
Feasterville Trevose, PA 19053-6002
Mailing address
826 Bustleton Pike Ste 105
Feasterville Trevose, PA 19053-6002
Phone (609) 416-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042201 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1053970749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 BUSTLETON PIKE STE 105",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190536002",
"telephone_number": "609-416-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 BUSTLETON PIKE STE 105",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190536002",
"telephone_number": "609-416-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "NISHITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.