Active NPI
Philip V Ilaria, M.D.
- Neurology Physician
- Red Bank, NJ
National Provider Identifier
1235105081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA56512
- Practice address
- 130 Maple Ave
Red Bank, NJ 07701-1734 - Phone
- (732) 741-1378
- Fax
- (732) 741-1677
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA56512 | NJ | Primary |
Addresses
Primary practice location
130 Maple Ave
Red Bank, NJ 07701-1734
Mailing address
130 Maple Ave
Red Bank, NJ 07701-1734
Phone (732) 741-1378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005859135 | Other | NJ | AETNA |
| 5633605 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56512 | NJ | MD | Neurology Physician |
Interoperability endpoints
- philip.ilaria@greatermonmouthneurology.chartmakerdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1235105081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011734",
"telephone_number": "732-741-1378",
"fax_number": "732-741-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011734",
"telephone_number": "732-741-1378",
"fax_number": "732-741-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILARIA",
"first_name": "PHILIP",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA56512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005859135",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5633605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
- David Hyppolite, M.D.
- Matthew Iacoviello
- Iain Ro Associates LLC (The Whole Peace Counseling)
- Icbh
- Jacklyn Lillian Ignizio, NURSE PRACTITIONER
- Jaehyuck Patrick Im, MD
- Robert Nick Incitti, PT OCS CSCI
- Brian R Incremona, M.D.
- Individual Physical Therapy & Wellness II LLC
- Infinity Chiropractic & Wellness Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.