Active NPI
Phyllis E Hughes, NP
- Adult Health Nurse Practitioner
- Hawthorne, NJ
National Provider Identifier
1164566915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN04244200
- Practice address
- 1114 Goffle Rd
Hawthorne, NJ 07506-2014 - Phone
- (973) 427-7676
- Fax
- (973) 427-7476
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN04244200 | NJ | Primary |
Addresses
Primary practice location
1114 Goffle Rd
Hawthorne, NJ 07506-2014
Mailing address
90 Phelps Ave
Bergenfield, NJ 07621-1312
Phone (973) 427-7676
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130626000335 | NJ | Order and Referring Only - Nurse Practitioner | 4385883289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164566915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 PHELPS AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076211312",
"telephone_number": "973-427-7676",
"fax_number": "973-427-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 GOFFLE RD",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062014",
"telephone_number": "973-427-7676",
"fax_number": "973-427-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "PHYLLIS",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN04244200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.