DR. KEITH ALEXANDER PHILLIPS (NPI# 1457546749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457546749 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALEXANDER PHILLIPS |
| Other Name | DR. KEITH ALEXANDER PHILLIPS |
| Credential | D.D.S. |
| Practice Address |
10753 Guy R Brewer Blvd Jamaica NY 11433-2351 |
| Mailing Address |
Po Box 130143 Laurelton NY 11413-0143 |
| Practice Telephone | 7182919117 |
| Practice Fax Number | 7182919117 |
| Mailing Telephone | 7182919117 |
| Mailing Fax Number | 7182919117 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
028846 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00290359 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405384 | Keith Phillips | Emergency Medical Technician, Basic | 39 Wilbur Ave, Newark, NJ 07112-2311 | 2019-03-07 |
| 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 |
| Street Address |
10753 GUY R BREWER BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11433-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205993334 | Yuriy Khanin | Pediatrics | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-01-01 |
| 1225571581 | Opensmiledental | Dentist | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2016-11-18 |
| 1659676930 | Yuriy Khanin Md, P.C. | Pediatrics | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2011-01-18 |
| 1679785133 | Stephen Howard Klein | Internal Medicine | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-05-04 |
| 1023156213 | Babu M Joseph | Internal Medicine | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-02-01 |
| 1831243369 | Babu M Joseph Md PC | Internal Medicine | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849710 | Smana Seradieu | Social Worker | 109 16 176th Street Jamaica, 109 16 176th Street Jamaica, Queens, NY 11433 | 2020-07-30 |
| 1336610716 | Dian Ann Scarlet | Specialist | 89-28 Merrick Blvd, Jamaica, NY 11433 | 2018-12-11 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1346759453 | Cecilia Vellozo | Speech-Language Pathologist | P.s. 48 William Wordsworth School, 10829 155th St, Jamaica, NY 11433 | 2017-09-21 |
| 1942723648 | Cheron Johnson | Behavior Technician | 107-29 172nd Street, Jamaica, NY 11433 | 2017-07-25 |
| 1093237208 | Bal & Dhamija Inc | Pharmacy | 107-45 Guy Brewer Blvd, Jamaica, NY 11433 | 2017-07-10 |
| 1962931311 | Emily Sheppard | Behavioral Analyst | 17326 113 Ave, Jamaica, NY 11433 | 2017-06-08 |
| 1497288310 | Ana Martinez | Licensed Practical Nurse | 176-08 108 Road, Brooklyn, NY 11433 | 2017-04-07 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1346787116 | Jennifer Jenine Griffith | Behavior Technician | 11307 175th St., Jamaica, NY 11433 | 2017-01-31 |
| Find all providers in zip 11433 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326574682 | Sagar M. Shah, Dentist P.C. | Dentist | 8935 164th St, Jamaica, NY 11432-5141 | 2017-05-05 |
| 1861930059 | Rushelle Julien | Dentist | 17962 Selover Rd, Jamaica, NY 11434-3412 | 2017-02-07 |
| 1417236704 | Robert B Friedman Dds PC | Dentist | 175- 67 Hillside Ave, Jamaica, NY 11432-5724 | 2011-08-04 |
| 1508172651 | Batool Fatima Rizvi | Dentist | 18230 Wexford Ter, Apt 5y, Jamaica, NY 11432-3141 | 2010-08-27 |
| 1962631770 | Emil Yousefnejadkorori | Dentist | 89- 02, 165 Street, Suite Mw29, Jamaica, NY 11432 | 2009-07-14 |
| 1710147616 | Inna Munarova | Dentist | 17324 82nd Ave, Jamaica, NY 11432-1313 | 2008-06-13 |
| 1538331368 | Luz A Chavez | Dentist | 14415 Jamaica Ave, Jamaica, NY 11435-3623 | 2008-04-01 |
| 1750553046 | Thomas F. Plummer, IIi, Dds, PC | Dentist | 90-53 Sutphin Blvd, 2nd Floor, Jamaica, NY 11435 | 2008-03-27 |
| 1639367840 | Maria Sales | Dentist | 118-11 Guy R. Brewer Blvd, Jamaica, NY 11434-1952 | 2007-10-12 |
| 1174719991 | Mahammed Abdus Samad | Dentist | 8810 175th St Ste 1, Jamaica, NY 11432-5570 | 2007-09-16 |
| Find all providers in JAMAICA | ||||
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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.