Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phyllis Jean Pass, NP

Individual provider Adult Health Nurse Practitioner · NPI 1114125507

Phyllis Jean Pass, NP is a Nurse Practitioner in New York, New York. Qualified in 2001, 25 years ago. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 E 77th St
New York, NY 10021-1850 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 434-2132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F304255-1 (NY)

Record details

NPI number1114125507
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 6, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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