Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JEREL ANTONIO PHILLIPS M.D.
NPI 1295423200
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Jerel Phillips's NPI number?

The NPI number for Jerel Phillips is 1295423200. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Q: What is Jerel Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jerel Phillips was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since April 27, 2023

1300 MORRIS PARK AVE., SUITE 615A, BRONX, NY 10461(718) 430-2496 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Oct 30, 2023 (2 updates tracked since 2023).

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About Mr. Jerel Antonio Phillips M.d. NPPES

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

MR. JEREL ANTONIO PHILLIPS M.D. (NPI 1295423200) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1295423200

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. JEREL ANTONIO PHILLIPSCredential: M.D.

Location Address1300 MORRIS PARK AVE., SUITE 615ABronx, NY 10461-1900

Mailing Address2763 Morris Ave, Apt. 702Bronx, NY 10468 · (929) 309-7267

Phone(718) 430-2496

Sole ProprietorNo

Enumeration DateApril 27, 2023

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2023

✔ NPI 1295423200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 MORRIS PARK AVE., Bronx, NY 10461

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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 Jerel Phillips's NPI number?

The NPI number for Jerel Phillips is 1295423200. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Jerel Phillips located?

Jerel Phillips practices at 1300 Morris Park Ave. Suite 615A, Bronx, NY 10461. The listed phone number is (718) 430-2496.

What is Jerel Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerel Phillips was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.