Cheryl J Phillips, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

006351-1 Issued in NY

Practice address

424 East 98TH. Street, Suite 2R
Brooklyn, NY 11212

Phone

(718) 922-2050

Fax

(718) 922-2050

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Cheryl J Phillips Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1558552935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E98TH. STREET, SUITE 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-922-2050",
            "fax_number": "718-922-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 EAST 98TH. STREET, SUITE 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-922-2050",
            "fax_number": "718-922-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHERYL",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "006351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "PHILLIPS",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ardissa Lianda Phillips, OTR/L
• Ariel Phillips
• Bonald Theus Phillips, M.D.
• Bradley J. Phillips, M.D.
• Charlotte Sue Phillips, M.D.
• Clifford Douglas Phillips, M.D.
• Colleen Evadne Phillips
• Danielle Marie Phillips, MD
• Daunia Phillips
• Germaine Phillips

• Metabolic Nutrition Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.