Active NPI
Sharon Jelena Phillips, M.D.
- Family Medicine Physician
- Malden, MA
National Provider Identifier
1285868976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 260973
- Practice address
- 178 Savin St Ste 100
Malden, MA 02148-2329 - Phone
- (781) 338-7400
- Fax
- (781) 338-7405
- NPI assigned
- May 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 252615 | NY | |
| Family Medicine Physician | 207Q00000X | 260973 | MA | Primary |
Addresses
Primary practice location
178 Savin St Ste 100
Malden, MA 02148-2329
Mailing address
178 Savin St Ste 100
Malden, MA 02148-2329
Phone (781) 338-7400
Other names 1
- Mrs. Sharon Phillips Benattabou
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc. | Current | Accepting new patients | |
| Arbour Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Arbour Inc | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100
49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
Organizations & group practices 5
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.
-
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- NPI 1770766529
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Psychiatric Hospital
- Boston, MA
- NPI 1821068818
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1285868976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 SAVIN ST STE 100",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482329",
"telephone_number": "781-338-7400",
"fax_number": "781-338-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 SAVIN ST STE 100",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482329",
"telephone_number": "781-338-7400",
"fax_number": "781-338-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SHARON",
"middle_name": "JELENA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-08",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "252615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "260973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "BENATTABOU",
"middle_name": "PHILLIPS",
"prefix": "MRS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.