PETER C PHILLIPS M.D. NPI 1184630543

NPI Information

NPI: 1184630543
Provider Name: PETER C PHILLIPS, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 3401 CIVIC CENTER BLVD
CHCA HEMATOLOGY & ONCOLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3535

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NPI Details

Peter C Phillips, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Philadelphia, PA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Peter C Phillips, M.D. NPI is 1184630543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHCA HEMATOLOGY & ONCOLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-3535
Fax: (215) 590-3992

The NPI 1184630543 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/25/2016.

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
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	142163	NEW YORK	No
2	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	MD043817L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0217409	MEDICAID	NEW JERSEY
2	D76372	MEDICARE UPIN
3	001008390	MEDICAID	PENNSYLVANIA

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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