KATHLEEN PHILLIPS APN NPI 1114494184

NPI Information

  • NPI: 1114494184
  • Provider Name: KATHLEEN PHILLIPS, APN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 94 OLD SHORT HILLS RD
    LIVINGSTON, NJ
    ZIP 07039
  • Phone: (973) 322-5200

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NPI Details

Kathleen Phillips, APN is a gerontology nurse practitioner in Livingston, NJ. Kathleen Phillips, APN NPI is 1114494184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

94 OLD SHORT HILLS RD
LIVINGSTON, NJ
ZIP 07039-672
Phone: (973) 322-5200

The NPI 1114494184 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2018 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology26NJ00831400NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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