Eugene Andruczyk, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS003427L Issued in PA

Practice address

9501 Roosevelt Blvd
Suite 404
Philadelphia, PA 19114-1025

Phone

(215) 676-3280

Fax

(215) 673-8210

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Aria Health Physician Services

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1780636498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "215-673-8210"
        },
        {
            "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": "215-673-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUCZYK",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS003427L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Alexander Andrews, PHD (CONFERRED 8/17)
• Robert Michael Andrews, CRNA
• Veronica Andrews, MD
• Rebecca L Andriole, PSY.D, LCP
• Savvas Andronikou, MD
• Emmah Andy, R.PH.
• Uduak Umoh Andy, MD
• Aneisha Home Care, LLC.
• Judith Anella-Konrad, CRNP
• Kasandra L. Aner, L.S.W.

• Gynecology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.

Verify at the official NPI Registry.