Individual provider Active NPI

Mackendy Philis

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1588523179
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F358505-01 Issued in NY
Practice address
261 Atkins Ave Apt 3
Brooklyn, NY 11208-3859
Phone
(347) 520-7892
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F358505-01 NY Primary

Addresses

Primary practice location

261 Atkins Ave Apt 3
Brooklyn, NY 11208-3859

Mailing address

261 Atkins Ave Apt 3
Brooklyn, NY 11208-3859
Phone (347) 520-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260314000338 NY Practitioner - Nurse Practitioner 1850874140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ny Family Practice Physicians, PCGroup PAC ID 4688731623, 12 clinicians

Practice addresses (Care Compare)

1052 Liberty Ave
Brooklyn, NY 11208-2913
Phone (718) 805-0037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F358505-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC CurrentSince Feb 4, 2026 Accepting new patients

Locations

1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600

11208 Springfield Blvd
Queens Village, NY 11429
Phone (929) 430-3811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1588523179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 ATKINS AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083859",
            "telephone_number": "347-520-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 ATKINS AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083859",
            "telephone_number": "347-520-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIS",
        "first_name": "MACKENDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F358505-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.