DR. PHILIP G WOODHAM


Address: 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997
Phone: 2018810721

DR. PHILIP G WOODHAM (NPI# 1174667836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174667836
Entity Type Individual
Full Name DR. PHILIP G WOODHAM
Practice Address 20 Prospect Ave
Suite 715
Hackensack
NJ 07601-1997
Mailing Address 452 Old Hook Rd
2nd Floor
Emerson
NJ 07630-1381
Practice Telephone 2018810721
Practice Fax Number 2018810725
Mailing Telephone 2016663900
Mailing Fax Number 2012610505
Enumeration Date 2007-02-16
Last Update Date 2015-08-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MA67550 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 20 PROSPECT AVE
SUITE 715
City HACKENSACK
State NJ
Zip Code 07601-1997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769317 William K Boss Specialist 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 2005-06-09
1457992679 Carmen Cecilia Peralta Nurse Practitioner 20 Prospect Ave, Hackensack, NJ 07601-1997 2019-09-30
1255988432 Leila Ledesma-apolinario Registered Nurse 20 Prospect Ave, Hackensack, NJ 07601-1997 2019-08-21
1871061440 Debbie Yiu Nurse Practitioner 20 Prospect Ave, Hackensack, NJ 07601-1997 2018-11-12
1942708128 Maria Dei Tos Thoracic Surgery (Cardiothoracic Vascular Surgery) 20 Prospect Ave, Hackensack, NJ 07601-1997 2018-01-23
1689115230 Lauren Elyse Dipasquale Audiologist 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 2017-03-15
1609316579 Dayra Soto Nurse Practitioner 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 2017-02-27
1538605456 Shoshanah Ruth Haricha Nurse Practitioner 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 2017-01-17
1710431101 Brandon Howard Md LLC Internal Medicine 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 2016-08-15
1518410349 Veronica Rossi Nurse Practitioner 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 2016-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760080196 Shaker Medical Group-hospitalists LLC Internal Medicine 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 2020-10-16
1982245932 Wellcare Tccm Internal Medicine 250 Moore St, Hackensack, NJ 07601-7506 2019-10-01
1215598826 Medcare Practice, LLC Internal Medicine 2 University Plaza, Suite 100 #29, Hackensack, NJ 07601-6210 2019-06-25
1922573740 Advanced Wound Care Internal Medicine 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 2018-10-08
1962812875 Shreemayee De Internal Medicine 360 Essex St Ste 301, Hackensack, NJ 07601-8566 2014-04-30
1467893917 Nikki Bajaj Internal Medicine 260 Prospect Ave, Apt 163, Hackensack, NJ 07601-2600 2013-07-12
1659636967 Laura Dutu Internal Medicine 20 Prospect Ave Ste 715, Hackensack, NJ 07601-1989 2012-07-12
1639309347 Eshwa B Ahmadi Internal Medicine 30 Euclid Ave Apt 4f, Hackensack, NJ 07601-4568 2009-07-16
1992969059 David Louis Broadnax Internal Medicine 386 Second Street, Hackensack, NJ 07601 2008-07-17
1306012182 S M Golam Kibrea Internal Medicine 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 2008-05-01
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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