Amy Phillips, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02516800 Issued in NJ

Practice address

14 E Westfield Ave
Roselle Park, NJ 07204-2283

Phone

(908) 245-7700

NPI assigned

Jul 19, 2012

Last updated

Feb 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy Phillips DMD LLC

  • Pediatric Dentistry
  • Roselle Park, NJ
  • NPI 1710491725
  NPD (past) Authorized official
• Norman J. Schwartz, DMD, PA

  • Pediatric Dentistry
  • Roselle Park, NJ
  • NPI 1366592040
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1366797961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 TILLOU RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791315",
            "telephone_number": "908-403-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042283",
            "telephone_number": "908-245-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02516800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Papadopoulos
• Park Pediatrics, PA (Emanuel Corbo, MD)
• Shauneille Parker
• Nora Pellegrino, PSY.D., BCBA-D
• Personal Touch Home Care of NJ, Inc
• Professional Hearing Service, LLC (Beltone Hearing Care and Audiology)
• Quest Medical Supplies Corp
• Quest Medical Supplies Corporation
• Rehabmax Physical Therapy PA
• Revive & Thrive Therapy LLC

• Pediatric Dentistry in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.