DR. PHILIP G WOODHAM (NPI# 1174667836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174667836 |
| Entity Type | Individual |
| Full Name | DR. PHILIP G WOODHAM |
| Practice Address |
20 Prospect Ave Suite 715 Hackensack NJ 07601-1997 |
| Mailing Address |
452 Old Hook Rd 2nd Floor Emerson NJ 07630-1381 |
| Practice Telephone | 2018810721 |
| Practice Fax Number | 2018810725 |
| Mailing Telephone | 2016663900 |
| Mailing Fax Number | 2012610505 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA67550 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
20 PROSPECT AVE SUITE 715 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080196 | Shaker Medical Group-hospitalists LLC | Internal Medicine | 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 | 2020-10-16 |
| 1982245932 | Wellcare Tccm | Internal Medicine | 250 Moore St, Hackensack, NJ 07601-7506 | 2019-10-01 |
| 1215598826 | Medcare Practice, LLC | Internal Medicine | 2 University Plaza, Suite 100 #29, Hackensack, NJ 07601-6210 | 2019-06-25 |
| 1922573740 | Advanced Wound Care | Internal Medicine | 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 | 2018-10-08 |
| 1962812875 | Shreemayee De | Internal Medicine | 360 Essex St Ste 301, Hackensack, NJ 07601-8566 | 2014-04-30 |
| 1467893917 | Nikki Bajaj | Internal Medicine | 260 Prospect Ave, Apt 163, Hackensack, NJ 07601-2600 | 2013-07-12 |
| 1659636967 | Laura Dutu | Internal Medicine | 20 Prospect Ave Ste 715, Hackensack, NJ 07601-1989 | 2012-07-12 |
| 1639309347 | Eshwa B Ahmadi | Internal Medicine | 30 Euclid Ave Apt 4f, Hackensack, NJ 07601-4568 | 2009-07-16 |
| 1992969059 | David Louis Broadnax | Internal Medicine | 386 Second Street, Hackensack, NJ 07601 | 2008-07-17 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. PHILIP G WOODHAM.
| 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.