Liam Jamal Phillip, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324063 Issued in NY

Practice address

76 Laurel Ave
Staten Island, NY 10304-1931

Phone

(580) 919-9938

NPI assigned

May 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1386382851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LAUREL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041931",
            "telephone_number": "580-919-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 LAUREL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041931",
            "telephone_number": "580-919-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "LIAM",
        "middle_name": "JAMAL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Philip, PA
• Susan K Philip
• Christin Philipose
• Kunjumo Philipose
• Jacqueline S Phillip
• Madeline Phillipps, LCSW
• Martin Phillipps
• Joanne Madeline Phillips, NP
• Laura J Phillips, R.N.
• Tracy Elizabeth Phillips, LCSW, ATR

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.