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MARYAN N PHILIPS D.O.
NPI 1265894703
Pediatrics in West Orange, NJ

Active since March 23, 2016PECOS Enrolled
405 NORTHFIELD AVE STE LL2, WEST ORANGE, NJ 07052(973) 736-4442 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Sep 26, 2019, Mar 23, 2016 (3 updates tracked since 2016).

About Maryan N Philips D.o. NPPES

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

MARYAN N PHILIPS D.O. (NPI 1265894703) is an individual pediatrics provider in West Orange, New Jersey, licensed in New Jersey (25MB10547400) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1265894703
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARYAN N PHILIPSCredential: D.O.
Location Address405 NORTHFIELD AVE STE LL2West Orange, NJ 07052-3023
Mailing Address405 Northfield Ave Ste Ll2West Orange, NJ 07052-3023 · (973) 736-4442
Phone(973) 736-4442
Sole ProprietorYes
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1265894703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MB10547400
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
405 NORTHFIELD AVE STE LL2, West Orange, NJ 07052
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Secondary Practice Location 1

Location 1370 Grand Ave Ste 203Englewood, NJ 07631-4109 · Phone (201) 568-3262

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryan N Philips D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 3

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

DR. MUNIRIH NURA TAHZIB M.D.
Pediatrics
405 NORTHFIELD AVE STE LL2
WEST ORANGE, NJ 07052
Essex County (973) 736-4442
ANGELICA MARIA SOTO-PEREIRA M.D.
Pediatrics
405 NORTHFIELD AVE STE LL2
WEST ORANGE, NJ 07052
Essex County (973) 736-4442
ALLYSON DYAN ROBERTS CPNP
Nurse Practitioner (Pediatrics)
405 NORTHFIELD AVE STE LL2
WEST ORANGE, NJ 07052
Essex County (973) 736-4442

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 Maryan Philips's NPI number?

The NPI number for Maryan Philips is 1265894703. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Maryan Philips located?

Maryan Philips practices at 405 Northfield Ave Ste Ll2, West Orange, NJ 07052. The listed phone number is (973) 736-4442.

What is Maryan Philips's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maryan Philips enrolled in Medicare?

Yes. Maryan Philips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryan Philips was last updated on January 2, 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.