Philip George Passes, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MB63526 Issued in NJ

Practice address

1540 State Route 138
Suite 206
Wall, NJ 07719-3763

Phone

(732) 280-8200

Fax

(732) 280-8211

NPI assigned

Nov 9, 2006

Last updated

Sep 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Esi Medical, LLC

  • Home Health Agency
  • Manasquan, NJ
  • NPI 1073628327
  NPD (past) Authorized official
• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1184794943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 STATE ROUTE 138",
            "address_2": "SUITE 206",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-280-8200",
            "fax_number": "732-280-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 STATE ROUTE 138",
            "address_2": "SUITE 206",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-280-8200",
            "fax_number": "732-280-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSES",
        "first_name": "PHILIP",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MB63526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Oliverie, D.M.D.
• Open MRI at Wall Laboratories LLC
• Open MRI at Wall, L.L.C. (Open Mri and Diagnostic Imaging of Wall)
• Paradiso Pharmaceuticals Inc (colfax pharmacy)
• Kevin Parks, D.C.
• Crystal Lynn Pemberton, FNP-C
• Penczak Family Chiropractic, LLC
• Personal Care Molcular Imaging, P.C.
• Maria G Pyontek, D.O.
• Jodi Rachmelowitz, D.M.D., L.L.C.

• Obstetrics & Gynecology Physician in Wall, NJ
• Providers in Wall, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.