Active NPI
Liju Philip, M.D.
- Emergency Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 263988
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (718) 347-7849
- NPI assigned
- Apr 12, 2011
- Last updated
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA10012600 | NJ | |
| Emergency Medicine Physician | 207P00000X | 263988 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
1825 Eastchester Rd
Bronx, NY 10461-2301
Phone (845) 642-6205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York Downstate Medical Center, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900
7600 River Rd
North Bergen, NJ 07047-6217
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263988 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Emergency Medicine | Current | Accepting new patients |
| Nyack Emergency Medical Association PLLC | Emergency Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Brunswick Urgent Care P a | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Association Sound Shore PLLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Association of New York PC | Emergency Medicine | Current | Accepting new patients |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients |
Locations
641 Route 18
East Brunswick, NJ 08816
Phone (732) 422-4889
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
3185 State Route 27
Franklin Park, NJ 08823
Phone (732) 422-4889
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
Interoperability endpoints
- lphilip450346@ahs.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Cortlandt Manor, NY
- NPI 1952356347
-
dba New Rochelle Emergency Medical Associates
- Emergency Medicine Physician
- New Rochelle, NY
- NPI 1649200015
-
dba Nyack Emergency Medical Associates
- Emergency Medicine Physician
- Nyack, NY
- NPI 1174627293
-
- Emergency Medicine Physician
- Franklin Park, NJ
- NPI 1366528341
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palisades Medical Center
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Holmdel, NJ
- NPI 1740907336
Hospital
-
dba Bayshore Community Hospital
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- North Bergen, NJ
- NPI 1952028532
Hospital
-
dba HackensackUMC at Pascack Valley
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1891085742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 EASTCHESTER RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104612301",
"telephone_number": "845-642-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-347-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "LIJU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10012600",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "263988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.