Active NPI
Eriq Krugman, D.O., M.S.
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1669139895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OT025034
- Practice address
- 4700 City Ave
Philadelphia, PA 19131-1500 - Phone
- (215) 871-6730
- NPI assigned
- Nov 22, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OT025034 | PA | Primary |
| Pharmacy Technician | 183700000X | 30181277 | PA |
Addresses
Primary practice location
4700 City Ave
Philadelphia, PA 19131-1500
Mailing address
4700 City Ave
Philadelphia, PA 19131-1500
Phone (215) 871-6730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30181277 | PA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1669139895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311500",
"telephone_number": "215-871-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311500",
"telephone_number": "215-871-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGMAN",
"first_name": "ERIQ",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT025034",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "30181277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.