Active NPI
Stephanie Barbara Phillips, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Bronx, NY
National Provider Identifier
1699983650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N004646-1
- Practice address
- 140 Einstein Loop
Suite 13D
Bronx, NY 10475-4903 - Phone
- (917) 620-6399
- Fax
- (718) 320-1528
- NPI assigned
- May 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004646-1 | NY | Primary |
Addresses
Primary practice location
140 Einstein Loop
Suite 13D
Bronx, NY 10475-4903
Mailing address
140 Einstein Loop
Suite 13D
Bronx, NY 10475-4903
Phone (917) 620-6399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004646-1 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1699983650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 EINSTEIN LOOP",
"address_2": "SUITE 13D",
"city": "BRONX",
"state": "NY",
"postal_code": "104754903",
"telephone_number": "917-620-6399",
"fax_number": "718-320-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 EINSTEIN LOOP",
"address_2": "SUITE 13D",
"city": "BRONX",
"state": "NY",
"postal_code": "104754903",
"telephone_number": "917-620-6399",
"fax_number": "718-320-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STEPHANIE",
"middle_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N004646-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.