Active NPI
Constance Andrejko, D.O.
- Neonatal-Perinatal Medicine Physician
- Voorhees, NJ
National Provider Identifier
1275507238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MB08391700
- Practice address
- 1000 Haddonfield Berlin Rd
Voorhees, NJ 08043 - Phone
- (856) 782-2212
- Fax
- (856) 782-2266
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS012649 | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MB08391700 | NJ | Primary |
Addresses
Primary practice location
1000 Haddonfield Berlin Rd
Voorhees, NJ 08043
Mailing address
1000 Haddonfield Berlin Rd
Voorhees, NJ 08043-3520
Phone (856) 782-2212
Other practice location 1
1025 Walnut St
700 College Building
Philadelphia, PA 19107-5001
Phone (215) 955-2074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101036118 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08391700 | NJ | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1275507238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433520",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HADDONFIELD BERLIN RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2266"
}
],
"practiceLocations": [
{
"address_1": "1025 Walnut St",
"address_2": "700 College Building",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075001",
"country_code": "US",
"telephone_number": "215-955-2074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREJKO",
"first_name": "CONSTANCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS012649",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MB08391700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101036118",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.