Active NPI
Philip Lawrence Case, M.D.
- Allergy & Immunology Physician
- Freehold, NJ
National Provider Identifier
1407906282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA04236800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04236800 | NJ | MD | Allergy Physician |
Interoperability endpoints
- pcase425020@direct.ahsys.org
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.