MARIYA VENGRENYUK


Address: 7600 Central Ave Fl 2, Philadelphia, PA 19111-2442
Phone: 2157282276

MARIYA VENGRENYUK (NPI# 1013367309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013367309
Entity Type Individual
Full Name MARIYA VENGRENYUK
Credential M.D.
Practice Address 7600 Central Ave Fl 2
Philadelphia
PA 19111-2442
Mailing Address 245 N 15th St Fl 6
Philadelphia
PA 19102-1101
Practice Telephone 2157282276
Practice Fax Number 2152144119
Mailing Telephone 2157627000
Mailing Fax Number 2157627765
Enumeration Date 2016-06-16
Last Update Date 2020-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD468755 PA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine MT212010 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
245 N 15th St Fl 6, Philadelphia, PA 191021101 2157627000 2157627765

Office Location

Street Address 7600 CENTRAL AVE FL 2
City PHILADELPHIA
State PA
Zip Code 19111-2442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053773804 Abayomi Michael Ajala Internal Medicine 7600 Central Ave Fl 2, Philadelphia, PA 19111-2442 2016-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
Find all providers in zip 19111

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427674407 Jun Song Internal Medicine 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 2020-06-24
1932725264 Aaron Leo Yazdian Internal Medicine 1335 South St Apt A, Philadelphia, PA 19147-1841 2020-06-23
1144846387 Rishabh Khatri Internal Medicine 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 2020-06-23
1215564521 Insight Home Physicians, PC Internal Medicine 7806 Cresheim Rd, Philadelphia, PA 19118-4003 2020-03-25
1457995938 Tower Drexel Academic Medical Group LLC Internal Medicine 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 2019-10-29
1205479904 Tower Drexel Academic Medical Group LLC Internal Medicine 219 N Broad St 8fl, Philadelphia, PA 19107-1507 2019-10-25
1700439056 Alvaro Goncalves Mendes Neto Internal Medicine 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 2019-07-16
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1114587672 Stephen Michael Pokrywa Internal Medicine Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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