Active NPI
Camille Philippe MD, PC
- Family Medicine Physician
- Jamaica, NY
National Provider Identifier
1063637361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 147143
- Legal business name
- CAMILLE PHILIPPE MD, PC
- Practice address
- 16405 Hillside Ave
Jamaica, NY 11432-4140 - Phone
- (718) 658-2448
- Fax
- (718) 658-2603
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Sancio
- Title
- Practice Coordinator
- Phone
- (718) 725-7031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 147143 | NY | Primary |
Addresses
Primary practice location
16405 Hillside Ave
Jamaica, NY 11432-4140
Mailing address
16405 Hillside Ave
Jamaica, NY 11432-4140
Phone (718) 658-2448
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170899 | Other | NY | GHI MEDICARE CHOICE |
| 68861 | Other | NY | MEDICARE-GHI |
| 0068861 | Other | NY | GHI |
| 14714360NY | Other | NY | 1199 NATIONAL BENEFIT FUND |
| 170899 | Other | NY | CIGNA |
| DP163 | Other | NY | OXFORD |
| 170899 | Other | NY | ELDERPLAN |
| 50013 | Other | NY | VYTRA |
| 58D471 | Other | EMPIRE BCBS | |
| 5C4094 | Other | NY | HEALTHNET |
| 147143B17 | Other | NY | HEALTHFIRST |
| 170899 | Other | NY | AETNA |
| 68861 | Other | NY | GHI-MEDICARE |
| 00924438 | Medicaid | NY | |
| 147143 | Other | NY | HIP |
| 45817 | Other | NY | GHI HMO |
| BKX033702 | Other | NY | AMERICHOICE BY UNITED HEALTHCARE |
| 08P5792 | Other | NY | NEW YORK PRESBYTERIAN |
National Provider Directory
National Provider Directory- Tax ID family
- Camille Philippe MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1467724690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1063637361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16405 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324140",
"telephone_number": "718-658-2448",
"fax_number": "718-658-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16405 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324140",
"telephone_number": "718-658-2448",
"fax_number": "718-658-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMILLE PHILIPPE MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "SANCIO",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRACTICE COORDINATOR",
"authorized_official_telephone_number": "718-725-7031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "147143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE CHOICE",
"identifier": "170899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-GHI",
"identifier": "68861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0068861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NATIONAL BENEFIT FUND",
"identifier": "14714360NY",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "170899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DP163",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "170899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "50013",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "58D471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "5C4094",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "147143B17",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "170899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-MEDICARE",
"identifier": "68861",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00924438",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "147143",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "45817",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE BY UNITED HEALTHCARE",
"identifier": "BKX033702",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK PRESBYTERIAN",
"identifier": "08P5792",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.