Maryan N Philips, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB10547400 Issued in NJ

Practice address

405 Northfield Ave Ste LL2
West Orange, NJ 07052-3023

Phone

(973) 736-4442

NPI assigned

Mar 23, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryan.philips@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare LLC

  • Pediatrics Physician
  • Englewood, NJ
  • NPI 1396522041
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1558372920
  NPD (past)
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)
• Consensus Medical Group LLC

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1811466881

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1265894703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVE STE LL2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523023",
            "telephone_number": "973-736-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVE STE LL2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523023",
            "telephone_number": "973-736-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Grand Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076314109",
            "country_code": "US",
            "telephone_number": "201-568-3262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "MARYAN",
        "middle_name": "N",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10547400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Peysaknov, PT, DPT
• Kate Gruenwald Pfeifer, LCSW
• Geoffrey A Philhower, BCBA
• Lynn N. Philippe
• Salomon Philippe
• Sofia Loreen Philogene, DPT
• Linda Huynh Phung
• Physical Medicine Consultants, LLC
• Tamika Pickett
• Pierre Medical Group LLC

• Pediatrics Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.

Verify at the official NPI Registry.