NPIMap

Organization Active NPI

Eugene Andruczyk, D.O., LLC

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1760429260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
EUGENE ANDRUCZYK, D.O., LLC
Practice address
9501 Roosevelt Blvd
Suite 404
Philadelphia, PA 19114-1025
Phone
(215) 676-3280
Fax
(215) 567-3821
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eugene Andruczyk, D.O.
Title
Owner
Phone
(215) 676-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

9501 Roosevelt Blvd
Suite 404
Philadelphia, PA 19114-1025

Mailing address

9501 Roosevelt Boulevard
Suite 404
Philadelphia, PA 19114-1029
Phone (215) 676-3280

National Provider Directory

National Provider Directory

Locations

9501 Roosevelt Blvd
Ste 404
Philadelphia, PA 19114
Phone (215) 464-4800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760429260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BOULEVARD",
            "address_2": "SUITE 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141029",
            "telephone_number": "215-676-3280",
            "fax_number": "215-567-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ROOSEVELT BLVD",
            "address_2": "SUITE 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141025",
            "telephone_number": "215-676-3280",
            "fax_number": "215-567-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE ANDRUCZYK, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRUCZYK",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-676-3280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.