ROMAN DYKYJ JR MD PC NPI 1689850901

NPI Information

NPI: 1689850901
Provider Name: ROMAN DYKYJ JR MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8151 REVERE ST
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 624-6855
Get Directions

ROMAN DYKYJ JR MD PC is a primary care clinic center in Philadelphia, PA. ROMAN DYKYJ JR MD PC NPI is 1689850901. The provider is registered as an organization entity type.

The provider's business location address is:

8151 REVERE ST
PHILADELPHIA, PA
ZIP 19152-002
Phone: (215) 624-6855

The provider's authorized official is Roman Dykyj .
The authorized official title is President and has the following contact phone number (215) 624-3000.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MD027187E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100995	MEDICARE PIN	PENNSYLVANIA
2	A00995	OTHER	PENNSYLVANIA	AMERIHEALTH ADMINISTRATOR
3	0054192000	OTHER	PENNSYLVANIA	INDEPENDENT BLUE CROSS
4	0054192001	OTHER	PENNSYLVANIA	KEYSTONE HPE
5	E71569	MEDICARE UPIN	PENNSYLVANIA
6	2061288	OTHER	PENNSYLVANIA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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