Individual provider Active NPI

Taylor Phillips

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1366905879
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0024316 Issued in DE
Practice address
27 Marrows Rd
Newark, DE 19713-3701
Phone
(302) 455-0900
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C2-0024316 DE
Pediatrics Physician 208000000X C2-0024316 DE
Family Medicine Physician 207Q00000X C2-0024316 DE Primary

Addresses

Primary practice location

27 Marrows Rd
Newark, DE 19713-3701

Mailing address

27 Marrows Rd
Newark, DE 19713-3701

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 354-6691

Other practice location 2

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1043

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230817003263 DE Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7214262583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

27 Marrows Rd
Newark, DE 19713-3701
Phone (302) 455-0900

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0024316DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2023 Accepting new patients
Westside Family Healthcare, Inc. Current Accepting new patients
Westside Family Healthcare, Inc CurrentSince Sep 11, 2023 Accepting new patients
Westside Family Healthcare, Inc. Past Accepting new patients

Locations

404 Foxhunt Dr
Bear, DE 19701
Phone (302) 832-8331

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

27 Marrows Rd
Newark, DE 19713
Phone (302) 455-0900

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1366905879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MARROWS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MARROWS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133701",
            "telephone_number": "302-455-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-354-6691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C2-0024316",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C2-0024316",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0024316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.