Degy Philip, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00890300 Issued in NJ

Practice address

130 W Kingsbridge Rd
Tele Triage Attn: Sophi Koyithara/Degy Philip
Bronx, NY 10468-3904

Phone

(201) 374-7080

NPI assigned

Oct 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotch Plains Medical Center LLCGroup PAC ID 6002172574, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scotch Plains Medical Center LLC

  • Urgent Care Clinic/Center
  • Scotch Plains, NJ
  • NPI 1861910473
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1164974812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "TELE TRIAGE ATTN: SOPHI KOYITHARA/DEGY PHILIP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "201-374-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "TELE TRIAGE ATTN: SOPHI KOYITHARA/DEGY PHILIP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "201-374-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "DEGY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-28",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR10490400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00890300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridie Ann Phelan, MASSAGE THERAPIST
• Huai Ming Phen, MD
• Vieline D Philbert, RN
• Philip Don
• Benson Philip, PA-C
• Donielle Olivia Philip, RN
• Jeff Philip, PA-C
• Sonia S Philip
• Franciou Philippeau, FNP
• Katerina Philippou, M.D.

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.