Individual provider Active NPI

Fay L Bennett-Phillips, MD

  • Ophthalmology Physician
  • North Brunswick, NJ
National Provider Identifier
1659321842
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06534600 Issued in NJ
Practice address
1440 How LN
Suite 2B
North Brunswick, NJ 08902-4600
Phone
(732) 249-6164
Fax
(732) 249-6164
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA06534600 NJ Primary

Addresses

Primary practice location

1440 How LN
Suite 2B
North Brunswick, NJ 08902-4600

Mailing address

PO Box 7184
North Brunswick, NJ 08902-7184
Phone (732) 249-6164

Other identifiers 1

IdentifierTypeStateIssuer
7384106MedicaidNJ

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000207 NJ Practitioner - Ophthalmology 4486685179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips Eye ConsultantsGroup PAC ID 3375598899, 2 clinicians

Practice addresses (Care Compare)

1440 How LN
Suite 2B
N Brunswick, NJ 08902-4600
Phone (732) 249-6164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06534600NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Eye Consultants Ophthalmology CurrentSince Feb 11, 1998 Accepting new patients

Locations

1440 How Ln
Ste 2B
North Brunswick, NJ 08902
Phone (732) 246-1133

1440 How Ln
Ste 2D
North Brunswick, NJ 08902
Phone (732) 249-6160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1659321842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7184",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089027184",
            "telephone_number": "732-249-6164",
            "fax_number": "762-249-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOW LN",
            "address_2": "SUITE 2B",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024600",
            "telephone_number": "732-249-6164",
            "fax_number": "732-249-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-PHILLIPS",
        "first_name": "FAY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06534600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7384106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.