PHYLLIS JEAN PASS NP
NPI 1114125507
Nurse Practitioner - Adult Health in New York, NY

Q: What is Phyllis Pass's NPI number?

The NPI number for Phyllis Pass is 1114125507. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Q: What is Phyllis Pass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Pass was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2007PECOS Enrolled

100 E 77TH ST, NEW YORK, NY 10021(212) 434-2132 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Phyllis Jean Pass Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS JEAN PASS NP (NPI 1114125507) is an individual adult health provider in New York, New York, licensed in New York (F304255-1) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114125507

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NamePHYLLIS JEAN PASSCredential: NP

Location Address100 E 77TH STNew York, NY 10021-1850

Mailing Address103 School StPiscataway, NJ 08854-5920 · (732) 572-0572

Phone(212) 434-2132

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114125507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304255-1

100 E 77TH ST, New York, NY 10021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Jean Pass Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325931074

PECOS Enrollment IDI20260313002042

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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