JOHN WICK MCILVAIN NPI 1699359679

NPI Information

  • NPI: 1699359679
  • Provider Name: JOHN WICK MCILVAIN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: ST. LUKE'S COVENTRY FAMILY PRACTICE
    755 MEMORIAL PARKWAY SUITE 300
    PHILLIPSBURG, NJ
    ZIP 08865
  • Phone: (908) 847-3300

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NPI Details

John Wick Mcilvain is a family medicine in Phillipsburg, NJ with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Wick Mcilvain NPI is 1699359679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

ST. LUKE'S COVENTRY FAMILY PRACTICE
755 MEMORIAL PARKWAY SUITE 300
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 847-3300
Fax: (908) 847-2289

The NPI 1699359679 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 5/6/2021 and was last updated on 7/2/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily MedicineMD485947PENNSYLVANIAYes

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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