Individual provider Active NPI

Phillip Thomas Knight, D.O.

  • Pediatrics Physician
  • Union City, NJ
National Provider Identifier
1639557598
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB10290700 Issued in NJ
Practice address
3196 Kennedy Blvd
Union City, NJ 07087
Phone
(833) 617-0500
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB10290700 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd
Union City, NJ 07087

Mailing address

3196 Kennedy Blvd
Union City, NJ 07087-2436
Phone (833) 617-0500

Other practice location 1

1 Clara Maass Dr Ste 250
Belleville, NJ 07109-3550
Phone (973) 302-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180918000421 NJ Practitioner - Pediatric Medicine 4486905361 Reassigns benefits to 1 organization
I20230527000039 FL Practitioner - Pediatric Medicine 4486905361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Mar 11, 2019 Accepting new patients
Humc Opco LLC Current Accepting new patients
Barnabas Health Medical Group PC Past Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients
Rwjbh Primary Care Services Pediatrics Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

11750 E Colonial Dr
Ste 100
Orlando, FL 32817

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

Interoperability endpoints

  • Direct secure messaging: phillip.knight@direct.hobokenumc.md
  • Direct secure messaging: phillip.knight@wwmp.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1639557598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "833-617-0500",
            "fax_number": "866-319-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "833-617-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Clara Maass Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071093550",
            "country_code": "US",
            "telephone_number": "973-302-6450",
            "fax_number": "844-729-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "PHILLIP",
        "middle_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10290700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.