NPIMap

Individual provider Active NPI

Gregory Paul Andrecyk, MD

  • Family Medicine Physician
  • Somersworth, NH
National Provider Identifier
1790731107
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11209 Issued in NH
Practice address
85 Main St
Somersworth, NH 03878-3111
Phone
(603) 692-6676
Fax
(603) 692-0919
NPI assigned
May 26, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11209 NH Primary
Family Medicine Physician 207Q00000X MD17946 ME

Addresses

Primary practice location

85 Main St
Somersworth, NH 03878-3111

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 692-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000407 NH Practitioner - Family Practice 2365484656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

85 Main St Somersworth Plaza
Hilltop Family Practice
Somersworth, NH 03878-3225
Phone (603) 692-6676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17946MEMDFamily Medicine Physician
11209NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jan 1, 2007 Accepting new patients
Wentworth Douglass Physician Corporation Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
Arnett Clinic, LLC Family Medicine Past Accepting new patients
Appledore Medical Group, Inc. Family Medicine Past Accepting new patients
Arnett Clinic, LLC Past Accepting new patients

Locations

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
Ofc
Dover, NH 03820
Phone (603) 740-4478

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058

85 Main St
Somersworth, NH 03878
Phone (603) 692-5552

85 Main St
Ste 1
Somersworth, NH 03878

Interoperability endpoints

  • Direct secure messaging: andrecyk.gregory.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1790731107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-692-6676",
            "fax_number": "603-692-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038783111",
            "telephone_number": "603-692-6676",
            "fax_number": "603-692-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRECYK",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11209",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD17946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.