Active NPI
Phillip Thomas Knight, D.O.
- Pediatrics Physician
- Union City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB10290700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | 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
- phillip.knight@direct.hobokenumc.md
- 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.
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.