Individual provider Active NPI

Elizabeth A Phillips, MD

  • Hematology & Oncology Physician
  • New Rochelle, NY
National Provider Identifier
1952482119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
1085511 Issued in NY
Practice address
50 Guion Place
New Rochelle, NY 10801
Phone
(914) 632-5397
Fax
(914) 532-5450
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 1085511 NY Primary

Addresses

Primary practice location

50 Guion Place
New Rochelle, NY 10801

Mailing address

PO Box 737
Armonk, NY 10504
Phone (914) 273-4296

Other identifiers 1

IdentifierTypeStateIssuer
00268415MedicaidNY

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
I20040804000835 NY Practitioner - Hematology/Oncology 8224009055 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1085511NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Jan 1, 1992 Accepting new patients
Calvary Hospital Inc CurrentSince Jan 1, 1992 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince May 12, 2015 Accepting new patients
Montefiore Medical Center Hematology & Oncology CurrentSince Jan 1, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2013 Accepting new patients
Advanced Oncology Associates Hematology & Oncology Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

111 E 210th St
Bronx, NY 10467

2345 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-0444

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Organizations & group practices 7

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952482119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "10504",
            "telephone_number": "914-273-4296",
            "fax_number": "914-273-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GUION PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-632-5397",
            "fax_number": "914-532-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "1085511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00268415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.