Philip S Dennis, M.D.
Individual provider Active NPI Family Medicine Physician · Farmingdale, NJ
NPI 1942391313 · NPPES record last updated Mar 19, 2010
Key facts
- NPI
- 1942391313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MA08141800 (NJ)
- Practice address
- 17 Casino Dr
Farmingdale, NJ 07727-3701 - Phone
- (270) 206-0069
- Fax
- (732) 256-4281
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
901 W Main St
Freehold, NJ 07728-2537
Phone (270) 206-0069
Hospital & facility affiliations
- Centrastate Medical Center
- Manor, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061127000175 | NJ | Practitioner - Family Practice | 7719955954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08141800 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Collaborative Care LLC | Family Medicine | Current |
Accepting new patients |
Locations
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
Interoperability endpoints
- pdennis425647@direct.ahsys.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08141800 | NJ | Yes |
Addresses
Primary practice location
17 Casino Dr
Farmingdale, NJ 07727-3701
Mailing address
17 Casino Dr
Farmingdale, NJ 07727-3701
Phone (270) 206-0069
Other providers in Farmingdale, NJ
- Alissa Conti
- Curalta Medical LLC
- D and L Healthcare Inc
- Ashley Marie Del Bene
- Dennis Collaborative Care LLC
- Neal Desimone
- Robert C Distefano
- Don Steinfeld DPM PC
- Lawrence Richard Dugo
- Constance A Egert
All providers in Farmingdale, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.