PHILIP L MICALE M.D.
NPI 1750354346
Specialist in Teaneck, NJ

Q: What is Philip Micale's NPI number?

The NPI number for Philip Micale is 1750354346. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Philip Micale's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Micale was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment

1086 TEANECK RD, SUITE 4C, TEANECK, NJ 07666(201) 837-9449(201) 578-1699 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Philip L Micale M.d. NPPES

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

PHILIP L MICALE M.D. (NPI 1750354346) is an individual specialist in Teaneck, New Jersey, licensed in New Jersey (25MA06867100) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of New York University School Of Medicine (1993).

NPPES Registry Identity

NPI1750354346

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NamePHILIP L MICALECredential: M.D.

Location Address1086 TEANECK RD, SUITE 4CTeaneck, NJ 07666-4854

Mailing Address1086 Teaneck Rd, Suite 4cTeaneck, NJ 07666-4854 · (201) 837-9449 · Fax (201) 578-1699

Phone(201) 837-9449

Fax(201) 578-1699

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1993

Enumeration DateFebruary 13, 2006

Last NPPES UpdateAugust 26, 2014

✔ NPI 1750354346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA06867100

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1086 TEANECK RD, Teaneck, NJ 07666

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN025427A4XNJ

Medicare UPING88987NJ

Other100012576NJ · Railroad Medicare

OtherP1895724NJ · Oxford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip L Micale M.d. 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 ID4587722384

PECOS Enrollment IDI20111227000085

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.

Medicare Billing Reassignments

Medicare enrollment records show Philip Micale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

I Paltrowitz MD J Goldfarb MD Mschmidt MD PA

Same address

Specialist

1086 TEANECK RD, SUITE 4C
Teaneck, NJ 07666

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1295701233 (201) 837-9449

Allied Digestive Health, LLC

42 mi

Gastroenterology

187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764

Reassigned Medicare billing, New Jersey enrollment
406 clinicians in this Medicare group

NPI 1265831259 (732) 222-3805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

150 services123 patients

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.

116 services96 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

111 services75 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

102 services100 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

96 services95 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

95 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

67 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

49 services47 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

30 services29 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

15 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

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.

JOSEPH DANTO PHD, D-ABNM

Audiologist

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (201) 862-9900

MS. IRENE HALAKA CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (484) 351-8459

MR. SUDHIR DEODHAR CNIM

Specialist

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (201) 862-9900

VIRGINIA MOSIER CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (201) 862-9900

JOEL P GOLDFARB M.D.

Internal Medicine (Gastroenterology)

1086 TEANECK RD, SUITE 4C
TEANECK, NJ 07666

Bergen County (201) 837-9449

BRETT JACOBS

Specialist/Technologist, Other (Electroneurodiagnostic)

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (201) 862-9900

MRS. HUMERA P YOUSUF CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)

1086 TEANECK RD, SUITE 4A
TEANECK, NJ 07666

Bergen County (201) 862-9900

ADAM L PALANCE MD

Specialist

1086 TEANECK RD, SUITE 4C
TEANECK, NJ 07666

Bergen County (201) 837-9449

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 Micale's NPI number?

The NPI number for Philip Micale is 1750354346. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Philip Micale located?

Philip Micale practices at 1086 Teaneck Rd Suite 4C, Teaneck, NJ 07666. The listed phone number is (201) 837-9449.

What is Philip Micale's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Philip Micale enrolled in Medicare?

Yes. Philip Micale 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.

Which organizations bill Medicare for Philip Micale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Micale reassigns Medicare benefits to 2 organizations: I Paltrowitz MD J Goldfarb MD Mschmidt MD PA (Teaneck, NJ) and Allied Digestive Health, LLC (West Long Beach, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Micale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Micale accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Philip Micale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Micale affiliated with any hospitals?

According to CMS data, Philip Micale is affiliated with Hackensack University Medical Center, Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Micale was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.