KEITH PHILLIPS


Address: 39 Wilbur Ave, Newark, NJ 07112-2311
Phone: 9084727486

KEITH PHILLIPS (NPI# 1316405384) 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) 1316405384
Entity Type Individual
Full Name KEITH PHILLIPS
Practice Address 39 Wilbur Ave
Newark
NJ 07112-2311
Practice Telephone 9084727486
Practice Fax Number 9083515109
Mailing Telephone 9084727486
Mailing Fax Number 9083515109
Enumeration Date 2019-03-07
Last Update Date 2019-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic Emergency Medical Service Providers

Other Providers KEITH PHILLIPS

NPI Name Taxonomy Address Enumeration
1033695325 Keith Phillips Contractor 22 Veterans Dr, Harrisburg, IL 62946-3320 2018-07-19
1063638310 Keith Martin Phillips Dentist 5619 Valley Ave E, Tacoma, WA 98424-2060 2007-04-17
1417180308 Keith A Phillips Radiology 1116 Millis Ave, Boonville, IN 47601-2226 2009-08-26
1457546749 Keith Alexander Phillips Dentist 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 2007-09-10

Office Location

Street Address 39 WILBUR AVE
City NEWARK
State NJ
Zip Code 07112-2311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129680 Kimberly Sjockeia Smith-jones Massage Therapist 590 Irvine Turner Blvd, Newark, NJ 07112 2020-09-18
1346880325 Latifat Olabisi Bamgbose Licensed Practical Nurse 233 Lehigh Avenue, #3, Newark, NJ 07112 2020-01-08
1316588122 Leila Renee Grubbs Counselor 140 Chancellor Avenue, 1b, Newark, NJ 07112 2019-10-02
1891347225 Obeng Pharmacy LLC Pharmacy 431-433 Elizabeth Avenue, Newark, NJ 07112 2019-07-16
1124595723 Patience Marks Nurse Practitioner 15 Shaw Avenue, Newark, NJ 07112 2018-11-01
1215425145 Johnbosco Okpala Student in an Organized Health Care Education/Training Program Nbimc 201 Lyons Ave, Newark, NJ 07112 2018-04-26
1700383809 Big Sam's Services LLC Home Health 349 Hawthorne Avenue, Newark, NJ 07112 2018-04-06
1780117325 Vivien Wai Tung Ku Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 2017-04-11
1265839922 Bhavinkumar Shah Pharmacist 178-180 Lyons Ave, Newark, NJ 07112 2014-11-24
1629377445 Isaac Abiola Popoola Registered Nurse 357 Schley Aptb4, Newark, NJ 07112 2011-03-18
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Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316312861 Quawi Hendrick Emergency Medical Technician, Basic 39 Kearny St, Newark, NJ 07104-2611 2015-12-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932715430 Christian Angelo Ventura Emergency Medical Technician, Basic 3150 Brunswick Ave, Lawrenceville, NJ 08648-2420 2020-09-20
1447888995 Ohene Offei Emergency Medical Technician, Basic 126 Paterson St, New Brunswick, NJ 08901-1961 2020-03-31
1912560319 Lucy Zhu Emergency Medical Technician, Basic 19 Birch Dr, Plainsboro, NJ 08536-1951 2019-04-22
1265928139 Amro H Dafeella Emergency Medical Technician, Basic 626 Central Ave Ste 5, East Orange, NJ 07018-1438 2018-07-03
1609305275 Hatzalah Emergency Medical Services of The Jersey Shore A Nj Nonprofit Emergency Medical Technician, Basic 167 Monmouth Rd, Oakhurst, NJ 07755-1566 2017-06-07
1033656616 William J Galese Emergency Medical Technician, Basic 1839 County Rd 565, Glenwood, NJ 07418-1048 2017-01-20
1558803866 Tawana James Emergency Medical Technician, Basic 9-23 8th Ave, Passaic, NJ 07055-2151 2016-11-17
1760842116 Mohammed Ateeli Emergency Medical Technician, Basic 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 2016-02-27
1699140400 Megan Kreyling Emergency Medical Technician, Basic 1200 Stuart Rd, Princeton, NJ 08540-1234 2015-12-04
1841664828 Andrew E Reid Emergency Medical Technician, Basic 44 Tupelo Dr, Old Bridge, NJ 08857-2947 2015-11-13
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Competitor

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City NEWARK
Zip Code 07112

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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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