Active NPI
Dennis-Roger Phillip, MD
- Surgery Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 232970
- Practice address
- 270 Park Ave
Huntington, NY 11743-2787 - Phone
- (631) 547-6392
- NPI assigned
- Mar 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 232970 | NY | |
| Surgery Physician | 208600000X | 232970 | NY | Primary |
Addresses
Primary practice location
270 Park Ave
Huntington, NY 11743-2787
Mailing address
PO Box 33682
Hartford, CT 06150-3682
Phone (631) 547-6392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02581877 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | D.Roger.Phillip@wmchealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
Hospital & facility affiliations
- Westchester Medical Center
- Healthalliance Hospital Marys Avenue Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services, PC | Surgery | Current | Accepting new patients |
| SBH Physicians, PC | Surgery | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| Susquehanna Physician Services | Surgery | Current | Accepting new patients |
| SBH Physicians, PC | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
1 Webster Ave
Ste 305
Poughkeepsie, NY 12601
Phone (845) 431-8733
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
740 High St
Ste 1003
Williamsport, PA 17701
Phone (570) 321-3160
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- d.roger.phillip@wmchealth.cernerdirect.com
- dennis-rogerphillip@mai.allscriptsdirect.net
- dphillip19803@sbhny.direct-ci.net
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 10
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Surgery Physician
- Williamsport, PA
- NPI 1881622868
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1598181091
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1477512655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33682",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061503682",
"telephone_number": "631-547-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432787",
"telephone_number": "631-547-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "DENNIS-ROGER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "232970",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "232970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02581877",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "D.Roger.Phillip@wmchealth.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "270 Park Ave",
"city": "Huntington",
"state": "NY",
"country_code": "US",
"postal_code": "117432787",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.