PHILIP GONCALVES (PA-C) – Physician Assistant, NPI 1003343385

PHILIP GONCALVES (PA-C) is a healthcare provider. based in Dover, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00431500 (NJ). The NPI Number for PHILIP GONCALVES (PA-C) is 1003343385

Main info

Male
9 Years Of Experience
Name
PHILIP GONCALVES (PA-C)
NPI
1003343385
Phone
(973) 328-3344
Address
18 W BLACKWELL ST
Enumeration Date
17 May 2017
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5799049763
Group Practice PAC ID
2365448461
Professional Enrollment ID
I20210323001804
Address ID
NJ078013841Do18XXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

3,606 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for PHILIP GONCALVES (PA-C)

  • 18, West Blackwell Street, Dover, Morris County, New Jersey, 07801, United States

    DOVER, NJ 078013841

    Phone: (973) 328-3344

    Fax: (973) 328-6817

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($152).

Total Amount

$202

General + Research + Ownership

Payments

5

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210323001804IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365448461View full group profile
NameSpecialtyState
Clinical Social WorkerNC
Physician AssistantNJ
Infectious DiseaseNJ
Nurse PractitionerNJ
Certified Nurse Midwife (Cnm)NJ
Physician AssistantNJ
Nurse PractitionerNJ
Physician AssistantNJ
Family PracticeNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

What federal number belongs to PHILIP GONCALVES (PA-C)?
The federal identifier for PHILIP GONCALVES (PA-C) is NPI 1003343385.
Does this profile mean PHILIP GONCALVES (PA-C) is currently active?
Yes — PHILIP GONCALVES (PA-C) appears active in the national provider directory.
What does PHILIP GONCALVES (PA-C) treat or focus on?
Patients typically see PHILIP GONCALVES (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for PHILIP GONCALVES (PA-C)?
We surface Dover, New Jersey for PHILIP GONCALVES (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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