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NNEKA CHIAGOZIEM IKPEZE PHILLIPS
NPI 1609454990
Family Medicine in Massapequa, NY

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1061 N BROADWAY STE 2, MASSAPEQUA, NY 11758(631) 751-3000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Jul 13, 2021, Mar 30, 2021 (3 updates tracked since 2021).

About Nneka Chiagoziem Ikpeze Phillips NPPES

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

NNEKA CHIAGOZIEM IKPEZE PHILLIPS (NPI 1609454990) is an individual family medicine provider in Massapequa, New York, licensed in New York (333812) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2021).

NPPES Registry Identity

NPI1609454990
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNNEKA CHIAGOZIEM IKPEZE PHILLIPS
Location Address1061 N BROADWAY STE 2Massapequa, NY 11758-1853
Mailing Address1 Research RdRidge, NY 11961-2701 · (631) 751-3000
Phone(631) 751-3000
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1609454990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 333812
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1061 N BROADWAY STE 2, Massapequa, NY 11758
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Nneka Chiagoziem Ikpeze Phillips 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 ID5294257945
PECOS Enrollment IDI20250321002711
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 11758 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

MILONI H THAKKER
Internal Medicine
1061 N BROADWAY STE 2
MASSAPEQUA, NY 11758
Nassau County (631) 758-7003
EVAN CRESSMAN PA
Physician Assistant
1061 N BROADWAY STE 2
MASSAPEQUA, NY 11758
Nassau County (631) 758-7003
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Internal Medicine
1061 N BROADWAY STE 2
MASSAPEQUA, NY 11758
Nassau County (631) 751-3000

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 Nneka Phillips's NPI number?

The NPI number for Nneka Phillips is 1609454990. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Nneka Phillips located?

Nneka Phillips practices at 1061 N Broadway Ste 2, Massapequa, NY 11758. The listed phone number is (631) 751-3000.

What is Nneka Phillips's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nneka Phillips enrolled in Medicare?

Yes. Nneka Phillips 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.

When was this NPI record last updated?

The NPPES record for Nneka Phillips was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.