Active NPI
Shawn Philip, DO
- Internal Medicine Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MB11436000
- Practice address
- 7600 River Rd
North Bergen, NJ 07047-6217 - Phone
- (201) 710-2755
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MB11436000 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MB11436000 | NJ | Primary |
Addresses
Primary practice location
7600 River Rd
North Bergen, NJ 07047-6217
Mailing address
414 Hackensack Ave Apt 1221
Hackensack, NJ 07601-6352
Phone (516) 270-4784
Other practice location 1
67 Barry Dr
Westbury, NY 11590-2801
Phone (516) 270-4784
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1308 Morris Ave
Suite 102
Union, NJ 07083-3328
Phone (908) 851-2770
240 Williamson St
Elizabeth, NJ 07202-3672
Phone (908) 352-5071
Hospital & facility affiliations
- Trinitas Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11436000 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Morris Avenue Endoscopy LLC | Current | Accepting new patients | |
| Morris Avenue Endoscopy LLC | Current | Accepting new patients | |
| RF Ledon M.D. P.C. | Gastroenterology | Current | Accepting new patients |
Locations
240 Williamson St
Ste 306
Elizabeth, NJ 07202
Phone (908) 352-5071
240 Williamson St
Ste 401
Elizabeth, NJ 07202
Phone (908) 282-0500
200 Sheffield St
Ste 101
Mountainside, NJ 07092
Phone (908) 241-8900
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
1308 Morris Ave
Ste 102
Union, NJ 07083
Phone (908) 851-2770
266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Union, NJ
- NPI 1912160516
-
- Ambulatory Surgical Clinic/Center
- Mountainside, NJ
- NPI 1780747394
-
- Anesthesiology Physician
- Mountainside, NJ
- NPI 1184778060
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1437712288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 HACKENSACK AVE APT 1221",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016352",
"telephone_number": "516-270-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 RIVER RD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070476217",
"telephone_number": "201-710-2755"
}
],
"practiceLocations": [
{
"address_1": "67 Barry Dr",
"address_purpose": "LOCATION",
"city": "Westbury",
"state": "NY",
"postal_code": "115902801",
"country_code": "US",
"telephone_number": "516-270-4784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIP",
"first_name": "SHAWN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MB11436000",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB11436000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.