1. Home
  2. Directory
  3. New Jersey
  4. New Brunswick
  5. Internal Medicine
  6. NPI Profile

DR. CLAIRE PHILIPP MD
NPI 1164594206
Internal Medicine - Hematology in New Brunswick, NJ

Active since November 14, 2006PECOS Enrolled
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5200, NEW BRUNSWICK, NJ 08901(322) 357-2267(732) 235-6532 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Jul 23, 2021 (2 updates tracked since 2021).

About Dr. Claire Philipp Md NPPES

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

DR. CLAIRE PHILIPP MD (NPI 1164594206) is an individual hematology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA06032400) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164594206
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameDR. CLAIRE PHILIPPCredential: MD
Location Address125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5200New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Phone(322) 357-2267
Fax(732) 235-6532
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1164594206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Licenses✔ Licensed in NJ · 25MA06032400✔ Licensed in NJ · MA60324
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA06032400 (NJ)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 25MA06032400 (NJ)
125 PATERSON ST, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 1

Medicaid6131603NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claire Philipp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Claire Philipp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Scleroderma Program
Same address
Rheumatology
125 PATERSON ST, SUITE 5200A
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1003988635 (732) 235-7217

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%74 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%185 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
45%185 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
74%185 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICARDO E VERDINER MD
Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6155
DR. IMRAN KHAN M.D., PH.D.
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6531
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7217
DOROTEA DEFRANCESCO PA
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7800
KRISH KHATRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7751
ADEOLA AWOMOLO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (718) 909-4661
DR. MANISH S PATEL MD
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6539
FRANK JIANG
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901
Middlesex County (832) 235-6968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claire Philipp's NPI number?

The NPI number for Claire Philipp is 1164594206. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Claire Philipp located?

Claire Philipp practices at 125 Paterson St Clinical Academic Building - Suite 5200, New Brunswick, NJ 08901. The listed phone number is (322) 357-2267.

What is Claire Philipp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Claire Philipp enrolled in Medicare?

Yes. Claire Philipp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Claire Philipp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claire Philipp reassigns Medicare benefits to Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claire Philipp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claire Philipp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Claire Philipp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claire Philipp was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.