Organization Active NPI

Danielle M. Phillips MD P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1427455864
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
229021 Issued in NY
Legal business name
DANIELLE M. PHILLIPS MD P.C.
Practice address
1917 Bedford Ave
Ground Floor
Brooklyn, NY 11225-5306
Phone
(718) 469-1900
Fax
(718) 469-1902
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Danielle Phillips, MSD
Title
Physician
Phone
(718) 469-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 229021 NY Primary

Addresses

Primary practice location

1917 Bedford Ave
Ground Floor
Brooklyn, NY 11225-5306

Mailing address

1917 Bedford Ave
Ground Floor
Brooklyn, NY 11225-5306
Phone (718) 469-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1427455864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 BEDFORD AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255306",
            "telephone_number": "718-469-1900",
            "fax_number": "718-469-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 BEDFORD AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255306",
            "telephone_number": "718-469-1900",
            "fax_number": "718-469-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE M. PHILLIPS MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-469-1900",
        "authorized_official_credential": "MSD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "229021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.