Active NPIIndividual provider

Dr. Jonathan W Phillips, MD

Family Medicine, Sports Medicine in Norwood, New Jersey

NPI Number1205090974
Practice location
335 Chestnut St, Norwood, NJ 07648-2001
Fax
—
Last updated
November 18, 2020

Jonathan Winston Phillips is a Family Medicine, Sports Medicine based in Norwood, NJ. Jonathan Winston Phillips practices in Norwood, NJ and has the professional credentials of MD. The NPI Number for Jonathan Winston Phillips is 1205090974 and holds a License No. ME110737 (FL). The current practice location address for Jonathan Winston Phillips is 335 Chestnut St, Norwood, NJ 07648-2001 and can be reached out via phone at 201-899-3560.

Provider Profile Details

NPI Number
1205090974
Provider Name
Jonathan Winston Phillips
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
335 Chestnut St, Norwood, NJ 07648-2001
Phone Number
201-899-3560
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2008
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
335 Chestnut St
Norwood, NJ 07648-2001
Zip
07648-2001
Phone Number
201-899-3560
Norwood, NJ 07648Get directions →

Provider Business Mailing Address Details

Address
7560 Red Bug Lake RD
Oviedo, FL 32765-6591
City
Oviedo
State
FL
Zip
32765-6591
Phone Number
407-951-5833

License Information

License Number (1)
ME110737
License State (1)
FL
Taxonomy (1)
Family Medicine, Sports Medicine · 207QS0010X
License Number (2)
25MA10397400
License State (2)
NJ
Taxonomy (2)
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan W Phillips, MD?

The NPI number of Dr. Jonathan W Phillips, MD is 1205090974. It was assigned on July 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan W Phillips, MD?

Dr. Jonathan W Phillips, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in FL under license number ME110737.

Where does Dr. Jonathan W Phillips, MD practice?

The practice location is 335 Chestnut St, Norwood, NJ 07648-2001. The office can be reached at 201-899-3560 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205090974 directly on the NPPES registry website.

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