Samantha Josephine Phillips, AGNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

AG02200160 Issued in NJ

Practice address

685 River Ave
Lakewood, NJ 08701-5288

Phone

(732) 486-7373

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians

Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
• Newton Medical Center Hospital, Newton, NJ, CCN 310028
• United Methodist Communities at Bristol Glen Nursing home, Newton, NJ, CCN 315439

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as apm

Quality

57.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• HDC Care Solutions, LLC

  • Nurse Practitioner
  • Framingham, MA
  • NPI 1033861349

  NJ

  Medicare reassignment Care Compare group NPD
• Value Based Long Term Care H PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Framingham, MA
  • NPI 1134951676

  NJ

  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  NJ

  Medicare reassignment NPD
• Gamil Makar MD LLC

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1942242318
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation
• Ahs Hospital Corp.

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation
• Bristol Glen Inc

  • Skilled Nursing Facility
  • Newton, NJ
  • NPI 1588740401

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1568096352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ROSS RD",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743230",
            "telephone_number": "908-307-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-486-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SAMANTHA",
        "middle_name": "JOSEPHINE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "AG02200160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "address_1": "685 River Ave",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087015288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pharmacy Center Inc Dba Kings Pharmacy
• Pharmex Pharmacy
• Kristyn Phelps, M.D.
• Rosily Philip, APN
• Dvora Phillip
• Phoenix Medical Associates, LLC
• Nathan Phuzaylof, CM CERTIFIED MOHEL
• Lauren Picciotto, DDS
• Nechama Pick, MS CCC SLP
• Lieba Picker, MS, CCC-SLP

• Adult Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Adult Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; 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.

Verify at the official NPI Registry.