PHILLIP JOSEPH ANDERSON PA
NPI 1649050790
Physician Assistant in Elmhurst, NY

Active since October 04, 2023PECOS Enrolled
7901 BROADWAY # B1-27, ELMHURST, NY 11373(718) 334-2209(718) 334-5006 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Phillip Joseph Anderson Pa NPPES

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

PHILLIP JOSEPH ANDERSON PA (NPI 1649050790) is an individual physician assistant in Elmhurst, New York, licensed in New York (030969) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649050790
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILLIP JOSEPH ANDERSONCredential: PA
Location Address7901 BROADWAY # B1-27Elmhurst, NY 11373-1329
Mailing Address7901 Broadway # B1-27Elmhurst, NY 11373-1329 · (718) 334-2209 · Fax (718) 334-5006
Fax(718) 334-5006
Sole ProprietorYes
Enumeration DateOctober 4, 2023
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
NPI 1649050790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 030969
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7901 BROADWAY # B1-27, Elmhurst, NY 11373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phillip Joseph Anderson Pa 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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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 6

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

Physician Assistant (Medical)
7901 BROADWAY # B1-27
ELMHURST, NY 11373
Nurse Practitioner (Family)
7901 BROADWAY # B1-27
ELMHURST, NY 11373
Physician Assistant
7901 BROADWAY # B1-27
ELMHURST, NY 11373
Physician Assistant
7901 BROADWAY # B1-27
ELMHURST, NY 11373
Physician Assistant
7901 BROADWAY # B1-27
ELMHURST, NY 11373
Physician Assistant
7901 BROADWAY # B1-27
ELMHURST, NY 11373

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 Phillip Anderson's NPI number?

The NPI number for Phillip Anderson is 1649050790. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Phillip Anderson located?

Phillip Anderson practices at 7901 Broadway # B1-27, Elmhurst, NY 11373. The listed phone number is (718) 334-2209.

What is Phillip Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phillip Anderson enrolled in Medicare?

Yes. Phillip Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Anderson was last updated on December 19, 2023. 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.