Individual provider Active NPI

Barbara Phillips-Cole, MD

  • Family Medicine Physician
  • Shelter Island, NY
National Provider Identifier
1679598726
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
272927-1 Issued in NY
Practice address
44 South Ferry Road
Shelter Island, NY 11964
Phone
(631) 749-3149
Fax
(631) 749-4257
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 272927-1 NY Primary

Addresses

Primary practice location

44 South Ferry Road
Shelter Island, NY 11964

Mailing address

PO Box 880
Shelter Island, NY 11964-0880
Phone (631) 749-3149

Other identifiers 1

IdentifierTypeStateIssuer
03751026MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131223000001 NY Practitioner - Family Practice 8022091917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

8010 Northern Blvd
Jackson Heights, NY 11372-1345
Phone (855) 936-7362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272927-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Dec 2, 2024 Accepting new patients
Hicksville Family Medical Care, PLLC Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
ER Medical Services, Inc. Past Accepting new patients
Prohealth Physicians PC Family Medicine Past Accepting new patients

Locations

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1679598726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119640880",
            "telephone_number": "631-749-3149",
            "fax_number": "631-749-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SOUTH FERRY ROAD",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "11964",
            "telephone_number": "631-749-3149",
            "fax_number": "631-749-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-COLE",
        "first_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272927-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03751026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelter Island, NY

Sources for this page

Verify at the official NPI Registry.