Organization Active NPI

Philip J. Filippis, M.D. , P.C.

  • Infectious Disease Physician
  • Wayne, NJ
National Provider Identifier
1275714511
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA56642 Issued in NJ
Legal business name
PHILIP J. FILIPPIS, M.D. , P.C.
Practice address
220 Hamburg Tpke
Suite 2
Wayne, NJ 07470-2110
Phone
(973) 389-9975
Fax
(973) 389-9976
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Philip J Filippis, M.D.NPI 1003851288
Title
President
Phone
(973) 938-9975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00146400 NJ
Infectious Disease Physician 207RI0200X MA56642 NJ Primary

Addresses

Primary practice location

220 Hamburg Tpke
Suite 2
Wayne, NJ 07470-2110

Mailing address

220 Hamburg Tpke
Suite 2
Wayne, NJ 07470-2110
Phone (973) 389-9975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000472 NJ Part B Supplier - Clinic/Group Practice 1951484096 Receives reassigned benefits from 4 practitioners
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

220 Hamburg Tpke
Ste 2
Wayne, NJ 07470
Phone (973) 389-9975

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1275714511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "address_2": "SUITE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-389-9975",
            "fax_number": "973-389-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "address_2": "SUITE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-389-9975",
            "fax_number": "973-389-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. FILIPPIS, M.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "FILIPPIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-938-9975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00146400",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA56642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.