Active NPI
Phil Whang, MD
- Geriatric Psychiatry Physician
- Newark, NJ
National Provider Identifier
1326166802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 25MA08105300
- Practice address
- 20 Washington PL
3Rd Floor VA Clinic
Newark, NJ 07102-3127 - Phone
- (973) 645-3042
- Fax
- (201) 781-0773
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 25MA08105300 | NJ | Primary |
Addresses
Primary practice location
20 Washington PL
3Rd Floor VA Clinic
Newark, NJ 07102-3127
Mailing address
20 Washington PL
3Rd Floor VA Clinic
Newark, NJ 07102-3127
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091211000532 | NJ | Practitioner - Psychiatry | 8820195019 | Practice locations: Closter, NJ; Norwood, NJ; Teaneck, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 McClellan St
Norwood, NJ 07648-1555
Phone (201) 768-6222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonicare Behavioral Health, LLC | Geriatric Psychiatry | Past | Accepting new patients |
| Cycare LLC | Past | Accepting new patients | |
| Masonicare Primary Care Physicians | Past | Accepting new patients | |
| Cycare LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Bloomfield, CT
- NPI 1336150002
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Bloomfield, CT
- NPI 1871866178
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
-
- Geriatric Medicine (Internal Medicine) Physician
- Wallingford, CT
- NPI 1922084540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1326166802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WASHINGTON PL",
"address_2": "3RD FLOOR VA CLINIC",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WASHINGTON PL",
"address_2": "3RD FLOOR VA CLINIC",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023127",
"telephone_number": "973-645-3042",
"fax_number": "201-781-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHANG",
"first_name": "PHIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": "25MA08105300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.