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Dr. Kaitlyn Philips , DO

Pediatrics β€’ Hackensack, NJ

Active NPI 1396151577 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

30 Prospect Avenue, Wfan - 3rd Fl
Hackensack, NJ 07601

Call 5519965300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Avenue
Wfan - 3rd Fl

Hackensack, NJ 07601

Telephone 5519965300
Fax 5519963051
Organization at the Same NPPES Address or Phone
New Jersey Healthcare Specialists Pc Facility NPI 1174585780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Hackensack Meridian Health Medical Group - Specialty Care Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Philips has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Philips as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hackensack and New Jersey

71 active clinicians are listed under Pediatrics with a practice address in Hackensack, NJ (2,185 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

1.4% of these 71 clinicians have the CMS telehealth indicator.

23.9% of these 71 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NJ 25MB09661100

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20231228003936

Enrollment State Jurisdiction

NJ

PECOS Control ID

2365737558

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Phone: 5519965045

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1982019774

Doctor of Medicine (M.D.)

Dr. Joshua Cappell , MD, PhD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1043224009

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Cary Chiang , MD

Emergency Medicine

NPI 1841231016

Doctor of Medicine (M.D.)

Katherine Demarco , APN-C

Nurse Practitioner - Family

NPI 1013275510

APNC

NPI 1659752194
Dr. Andrea Radossi , DO

Internal Medicine

NPI 1164164802

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 22, 2022

Registered at 30 PROSPECT AVENUE, WFAN - 3RD FL, HACKENSACK, NJ 07601 (Tel: 5519965300)

πŸ“
Updated Business Mailing Address August 22, 2022

Registered at 30 PROSPECT AVENUE, WFAN - 3RD FL, HACKENSACK, NJ 07601 (Tel: 5519965300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2022

Pediatrics (license number reported to NPPES: NJ 25MB09661100)

βœ…
NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2014

Registered at 100 MADISON AVE, MORRISTOWN, NJ 079606136 (Tel: 9739715000)

πŸ“
Business Mailing Address (Initial Record) July 08, 2014

Registered at 100 MADISON AVE, MORRISTOWN, NJ 079606136

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2014

Recorded as KAITLYN PHILIPS, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 08, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396151577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: August 22, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Hackensack

All Pediatrics Specialists in Hackensack

Mailing Address

30 Prospect Avenue, Wfan - 3rd Fl

Hackensack, NJ 07601

Phone: 5519965300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.