Individual provider Active NPI

Philip Schulman, MD

  • Medical Oncology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1184604514
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
124207 Issued in NY
Practice address
1500 Route 112 BLDG 4 Ste 101
Port Jefferson Station, NY 11776
Phone
(631) 751-3000
Fax
(631) 509-6559
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 124207 NY Primary

Addresses

Primary practice location

1500 Route 112 BLDG 4 Ste 101
Port Jefferson Station, NY 11776

Mailing address

1500 Route 112 BLDG 4 Ste 101
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

Other practice location 1

650 Commack Rd
Commack, NY 11725-5404
Phone (646) 227-3813

Other identifiers 1

IdentifierTypeStateIssuer
01178463MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180126001517 NY Practitioner - Hematology/Oncology 8820017031 Reassigns benefits to 4 organizations
I20220713000347 PA Practitioner - Hematology 8820017031 Reassigns benefits to 1 organization
I20240712000536 CT Practitioner - Hematology/Oncology 8820017031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124207NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital CurrentSince Jul 5, 2022 Accepting new patients
Day Kimball Healthcare, Inc. Current Accepting new patients
Westchester Medical Group, P.C. CurrentSince Jun 11, 2025 Accepting new patients
Reading Hospital CurrentSince Jul 5, 2022 Accepting new patients
University Pathologists, LLC Current Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Mar 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 28, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 28, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince May 23, 2018 Accepting new patients
The Westchester Medical Group PC CurrentSince Jun 11, 2025 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince May 23, 2018 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Memorial Sloan-Kettering Cancer Center at St Francis Mercy Medical Oncology Past Accepting new patients

Locations

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: philip.schulman.1@21260.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1184604514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 4 STE 101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 4 STE 101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255404",
            "country_code": "US",
            "telephone_number": "646-227-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "124207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.