Roman Dykyj Jr MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD027187E Issued in PA

Legal business name

ROMAN DYKYJ JR MD PC

Practice address

8151 Revere St
Philadelphia, PA 19152-3002

Phone

(215) 624-6855

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roman Dykyj Jr., MD

Title

President

Phone

(215) 624-3000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1689850901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523002",
            "telephone_number": "215-624-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 REVERE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523002",
            "telephone_number": "215-624-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN DYKYJ JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "DYKYJ",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-624-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD027187E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BLUE CROSS",
            "identifier": "0054192000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPE",
            "identifier": "0054192001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2061288",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "A00995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Alexander Rolnick
• Christine Duke Rolon
• Josue Manuel Rolon
• Paul Howell Rolston, , M.M.SC., P.A.-C
• Adam Raphael Rom, MD
• Amanda Lucia Roman-Camargo, M.D.
• Doreen E Roman, P.A.
• Emiliz Roman
• Jahaira Roman, PMHNP
• Jennifer Susan Roman, CRNP

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.