PHILIP GONCALVES (NPI# 1003343385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003343385 |
| Entity Type | Individual |
| Full Name | PHILIP GONCALVES |
| Credential | PA-C |
| Practice Address |
18 W Blackwell St Dover NJ 07801-3841 |
| Practice Telephone | 9733283344 |
| Practice Fax Number | 9733286817 |
| Mailing Telephone | 9733283344 |
| Mailing Fax Number | 9733286817 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00431500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18 W BLACKWELL ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235310012 | Nichole Cecilia Jenisch | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801-3841 | 2007-11-20 |
| 1417576372 | Hy T Le | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2020-04-10 |
| 1497397699 | Maria F Berke | Social Worker | 18 W Blackwell St, Dover, NJ 07801-3841 | 2019-10-09 |
| 1033764501 | Lauren Cuza | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801-3841 | 2019-08-01 |
| 1396399747 | Nicole Hurtado | Family Medicine | 18 W Blackwell St, Dover, NJ 07801-3841 | 2019-07-24 |
| 1093377988 | Julie Valdes | Pharmacist | 18 W Blackwell St, Dover, NJ 07801 | 2019-07-01 |
| 1588131189 | Vito Fernando Zuna | Physician Assistant | 18 W Blackwell St, Dover, NJ 07801-3841 | 2018-11-01 |
| 1619472560 | Wen Zhu | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2018-03-23 |
| 1558876458 | Lina Maria Calderon | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801 | 2017-12-13 |
| 1992218473 | Maria Victoria Menzel | Social Worker | 18 W Blackwell St, Dover, NJ 07801-3841 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| Find all providers in zip 07801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790119923 | Sara Kay Proctor | Physician Assistant | 3228 San Jose Mission Dr, Dover, FL 33527-4746 | 2013-08-23 |
| 1003986837 | Erin Chudzik-pryor | Physician Assistant | 125 Greentree Dr # 1, Dover, DE 19904-7648 | 2006-11-09 |
| 1073698619 | Breckinridge Sievers Smith II | Physician Assistant | Kent General Hospital Emergency Department, 640 South State St., Dover, DE 19901 | 2006-10-25 |
| 1184643975 | Denise Anne Hanley Gagnon | Physician Assistant | 701 Central Ave, Dover, NH 03820-3403 | 2006-07-19 |
| 1275507915 | Paul Thomas Ciechoski | Physician Assistant | 175 Pickett Rd, Dover, PA 17315-3125 | 2006-02-16 |
| 1912559782 | Taras Yurchenko | Physician Assistant | 1100 Forrest Ave, Dover, DE 19904-3309 | 2019-07-11 |
| 1114410602 | Sierra Rose Palochak | Physician Assistant | 1113 S State St, Dover, DE 19901-4112 | 2018-06-11 |
| 1841783479 | Claire O'connell | Physician Assistant | 540 S Governors Ave Ste 101a, Dover, DE 19904-3530 | 2018-06-08 |
| 1386135887 | Leland Davis IIi | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-05-21 |
| 1962910604 | Desiree Villeneuve | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2018-01-16 |
| Find all providers in DOVER | ||||
Please comment or provide details below to improve the information on PHILIP GONCALVES.
| 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.