Robert Stephen Auerbach, DO
Individual provider Active NPI Gynecology Physician · Phila, PA
NPI 1861478034 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1861478034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- OS002949L (PA)
- Practice address
- 7602 Central Ave
Suite 201
Phila, PA 19111-2443 - Phone
- (215) 745-8989
- Fax
- (215) 745-9072
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000047 | PA | Practitioner - Obstetrics/Gynecology | 2264560176 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002949L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan, Inc | Current |
Accepting new patients | |
| Temple Physicians Inc | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current |
Accepting new patients | |
| Temple Physicians Inc | Current | Accepting new patients | |
| Zoya Berenson MD PC-Greater NE Medical Group | Current |
Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Physician Inc. | Current |
Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
2000 Grant Ave
Ste 201
Philadelphia, PA 19115
Phone (215) 464-6104
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
7602 Central Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 728-4291
9331 Old Bustleton Ave
Ste 203
Philadelphia, PA 19115
Phone (215) 602-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS002949L | PA | |
| Gynecology Physician | 207VG0400X | OS002949L | PA | Yes |
Addresses
Primary practice location
7602 Central Ave
Suite 201
Phila, PA 19111-2443
Mailing address
PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 745-8989
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P691140 | Other | PA | OXFORD |
| 0005064 | Other | PA | AETNA - HMO |
| 101468089 | Medicaid | PA | |
| 0073489405 | Other | PA | AMERICHOICE |
| 6771 | Other | PA | BRAVO HEALTH |
| 597586 | Other | PA | MEDICARE GROUP TPI |
| 3Y3689 | Other | PA | HEALTH NET |
| 1075764 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 863236 | Other | PA | COVENTRY HEALTH AMERICA |
| 0052801000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 160039143 | Other | PA | RAILROAD MEDICARE |
| 4353532 | Other | PA | AETNA PPO |
| CD4829 | Other | PA | RAILROAD MEDICARE TPI |
| 073839 | Other | PA | HIGHMARK BLUE SHIELD |
Other providers in Phila, PA
- Guido Ascanio
- John Ashenbrenner
- Ashton Pharmacy
- Associated Medical Specialties, Inc.
- Associated Medical Specialties, Inc.
- Moyosola Matilda Ayoola
- B&J Optics
- B&S Shoes & Orthotics
- Adama Hawa Bah
- Shaquana Baker
All providers in Phila, PA · Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.