Individual provider Active NPI

Philip Lawrence Case, M.D.

  • Allergy & Immunology Physician
  • Freehold, NJ
National Provider Identifier
1407906282
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA04236800 Issued in NJ
Practice address
80 Scenic Dr Ste 1
Freehold, NJ 07728-5211
Phone
(732) 577-1242
Fax
(732) 358-7250
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 25MA04236800 NJ
Pediatric Allergy/Immunology Physician 2080P0201X 25MA04236800 NJ
Allergy Physician 207KA0200X 25MA04236800 NJ
Allergy & Immunology Physician 207K00000X 25MA04236800 NJ Primary

Addresses

Primary practice location

80 Scenic Dr Ste 1
Freehold, NJ 07728-5211

Mailing address

80 Scenic Dr Ste 1
Freehold, NJ 07728-5211
Phone (732) 577-1242

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000773 NJ Practitioner - Allergy/Immunology 6709920416 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Eastern Virginia Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Scenic Dr
Suite 1
Freehold, NJ 07728-5211
Phone (732) 577-1242

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04236800NJMDAllergy Physician

Interoperability endpoints

  • Direct secure messaging: pcase425020@direct.ahsys.org

Hospital & facility affiliations 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1407906282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR STE 1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285211",
            "telephone_number": "732-577-1242",
            "fax_number": "732-358-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR STE 1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285211",
            "telephone_number": "732-577-1242",
            "fax_number": "732-358-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "PHILIP",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04236800",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NJ",
            "license": "25MA04236800",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA04236800",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04236800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.