Mitsou Doroti Philogene, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F309059-1 Issued in NY

Practice address

234 E 149TH St
Bronx, NY 10451-5589

Phone

(718) 579-4635

NPI assigned

Dec 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1841536554
  Medicare reassignment NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1649837113
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1831434299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 EAST 38TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "telephone_number": "929-234-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515589",
            "telephone_number": "718-579-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILOGENE",
        "first_name": "MITSOU",
        "middle_name": "DOROTI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309059-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Phillips
• Stephanie Barbara Phillips, D.P.M.
• Steven J Phillips
• Tarik Carrington Phillips, MD
• Mechel Marjorie Phillpotts, RN
• Dominique Ebony Phinn
• Patricia Phipps, CRNA
• Dorcas Phiri
• Erick Phocco, MD
• Amanda Rose Phoenix, PHARM.D., BCACP, CDE

• Adult Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.