KEITH PHILLIPS (NPI# 1316405384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
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 |
Street Address |
39 WILBUR AVE |
City | NEWARK |
State | NJ |
Zip Code | 07112-2311 |
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 |
Find all providers in zip 07112 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316312861 | Quawi Hendrick | Emergency Medical Technician, Basic | 39 Kearny St, Newark, NJ 07104-2611 | 2015-12-09 |
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 |
Find all providers with the same taxonomy |
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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.