DR. TRACY LEE PHILLIPS (NPI# 1588876866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588876866 |
| Entity Type | Individual |
| Full Name | DR. TRACY LEE PHILLIPS |
| Credential | D.D.S. |
| Practice Address |
8015 164th St Jamaica NY 11432-1116 |
| Mailing Address |
Po Box 127 Old Westbury NY 11568-0127 |
| Practice Telephone | 7185231525 |
| Practice Fax Number | 7185231747 |
| Mailing Telephone | 7185231525 |
| Mailing Fax Number | 7185231747 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
035970 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629245998 | Tracy Lynn Phillips | Licensed Practical Nurse | 5620 W Birch Harbor Dr, Wasilla, AK 99654-9430 | 2008-05-14 |
| 1558464990 | Tracy T Phillips | Obstetrics & Gynecology | 2089 Vale Road, Suite 10, San Pablo, CA 94806 | 2006-09-07 |
| 1619960408 | Tracy A Phillips | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2005-08-26 |
| 1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
| 1770073702 | Tracy Lanae Phillips | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2018-05-15 |
| 1508013293 | Tracy B Phillips | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2008-08-25 |
| 1689873754 | Tracy Phillips | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-17 |
| 1578648309 | Tracy Elizabeth Phillips | Social Worker | 2795 Richmond Ave, Staten Island, NY 10314-5857 | 2006-10-27 |
| 1376527051 | Tracy B Phillips | Pediatrics | 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-12-06 |
| Street Address |
8015 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164479259 | Hillcrest Radiology Associates, P.C. | Radiology | 8015 164th St, Jamaica, NY 11432-1116 | 2006-05-27 |
| 1932373982 | Yona Shechter | Nutritionist | 8015 164th St, Jamaica, NY 11432-1116 | 2008-04-19 |
| 1124239041 | George E Gabor | Internal Medicine | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-24 |
| 1699980797 | Leon B Eisikowitz Md PC | Specialist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-11 |
| 1710190368 | David Bruckner | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-08 |
| 1770795841 | Charles Orbuch | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-03 |
| 1518182807 | Erin O'reilly | Psychologist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-04-13 |
| 1508992371 | Sherry Arbisser | Allergy & Immunology | 8015 164th St, Jamaica, NY 11432-1116 | 2007-02-26 |
| 1285790758 | Leon B Eisikowitz | Internal Medicine | 8015 164th St, 1sr Floor Left, Jamaica, NY 11432-1116 | 2006-12-29 |
| 1417033481 | Aggy Jolly Vallanat | Psychiatry & Neurology | 8015 164th St, First Floor, Jamaica, NY 11432-1119 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| 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.