Individual provider Active NPI

Phillip D Reid, MD

  • Hematology & Oncology Physician
  • East Brunswick, NJ
National Provider Identifier
1093703969
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA07142100 Issued in NJ
Practice address
629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone
(732) 390-7750
Fax
(732) 390-7725
NPI assigned
Oct 13, 2005
Last updated
May 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA07142100 NJ Primary

Addresses

Primary practice location

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 1

J2 Brier Hill Ct
East Brunswick, NJ 08816-3340
Phone (732) 390-7750

Other identifiers 2

IdentifierTypeStateIssuer
8367701MedicaidNJ
1790396281OtherNJTITAN HEALTH GROUP NPI#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000365 NJ Practitioner - Hematology/Oncology 8224093331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Stanford University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

75 Veronica Ave
Suite 201
Somerset, NJ 08873-5002
Phone (732) 390-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC Hematology & Oncology CurrentSince Jan 1, 2021 Accepting new patients
Titan Health Partners LLC Hematology & Oncology CurrentSince Jan 1, 2021 Accepting new patients
Titan Health Partners LLC Hematology & Oncology Past Accepting new patients

Locations

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (732) 724-1739

J2 Brier Hill Ct
East Brunswick, NJ 08816
Phone 73239077500219

34-36 Progress St
Ste B
Edison, NJ 08820

9 Centre Dr
Ste 100
Monroe Township, NJ 08831
Phone (609) 395-5577

75 Veronica Ave
Ste 201
Somerset, NJ 08873
Phone (732) 246-4882

Interoperability endpoints

  • Direct secure messaging: phillip.reid.1@8568.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1093703969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J2 Brier Hill Ct",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163340",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA07142100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8367701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITAN HEALTH GROUP NPI#",
            "identifier": "1790396281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.