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DR. PHILIP G WOODHAM
NPI 1174667836
Internal Medicine in Hackensack, NJ

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
20 PROSPECT AVE, SUITE 715, HACKENSACK, NJ 07601(201) 881-0721(201) 881-0725 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Philip G Woodham NPPES

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

DR. PHILIP G WOODHAM (NPI 1174667836) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (MA67550) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1174667836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIP G WOODHAM
Location Address20 PROSPECT AVE, SUITE 715Hackensack, NJ 07601-1997
Mailing Address452 Old Hook Rd, 2nd FloorEmerson, NJ 07630-1381 · (201) 666-3900 · Fax (201) 261-0505
Phone(201) 881-0721
Fax(201) 881-0725
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 24, 2015
✔ NPI 1174667836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA67550
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN038046RBMNJ
Medicare PIN065943NJ
Medicare UPINX83358NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip G Woodham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012100704
PECOS Enrollment IDI20101026001327
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
376 services151 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
102 services64 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services74 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
66 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
54 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers23 claims44 services$5.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ELIZABTH ANNE BILOTTI APN-BC
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Bergen County (201) 996-5900
DR. JOSEPH B. GLOWACKI DO
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-3205
JEROME F LEVINE M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
MS. THERESA M GABAY APRN, BC
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-5251
LISA HA
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
THE CENTER FOR ADVANCED NEUROSURGERY, LLC
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Bergen County (201) 881-0700
BINDU A BALANI M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088

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 Philip Woodham's NPI number?

The NPI number for Philip Woodham is 1174667836. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Philip Woodham located?

Philip Woodham practices at 20 Prospect Ave Suite 715, Hackensack, NJ 07601. The listed phone number is (201) 881-0721.

What is Philip Woodham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Woodham enrolled in Medicare?

Yes. Philip Woodham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Philip Woodham affiliated with any hospitals?

According to CMS data, Philip Woodham is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Woodham was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.