Individual provider Active NPI

Ronald Gruzin, D.O.

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1235180472
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS007889L Issued in PA
Practice address
9821 Academy Rd
Philadelphia, PA 19114-1545
Phone
(215) 632-8700
Fax
(215) 632-7865
NPI assigned
May 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS007889L PA Primary

Addresses

Primary practice location

9821 Academy Rd
Philadelphia, PA 19114-1545

Mailing address

2835 Tyson Ave
Philadelphia, PA 19149-1415
Phone (215) 624-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060605000103 PA Practitioner - Internal Medicine 9234140351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

9821 Academy Rd
Philadelphia, PA 19114-1545
Phone (215) 624-6162

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Apr 8, 2024 Accepting new patients
Aria Health Physician Services CurrentSince Apr 8, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

9821 Academy Rd
Philadelphia, PA 19114
Phone (215) 632-8700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235180472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "215-624-6162",
            "fax_number": "215-624-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141545",
            "telephone_number": "215-632-8700",
            "fax_number": "215-632-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUZIN",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS007889L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.