DR. ANDREW LELCHUK (DO) – Internal Medicine Physician, NPI 1063073906

DR. ANDREW LELCHUK (DO) is a healthcare provider. based in Jersey city, New Jersey. specializing in GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 25MB11636300 (NJ). The NPI Number for DR. ANDREW LELCHUK (DO) is 1063073906

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW LELCHUK (DO)
NPI
1063073906
Phone
Not provided
Address
532 JERSEY AVE APT 603
Enumeration Date
21 June 2019
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
5619978484
Graduation Year
2019 (7 years ago)
PAC ID
4587012539
Group Practice PAC ID
6406820414
Professional Enrollment ID
I20231130003526
Address ID
FL334875712BO1601XRDXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

135 GENERAL PRACTICE in NJ

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Provider Addresses for DR. ANDREW LELCHUK (DO)

  • 532 JERSEY AVE APT 603

    JERSEY CITY, NJ 073027468

    Phone:

    Type: Mailing

  • Bayonne Medical Center, 29, East 29th Street, Bayonne, Hudson County, New Jersey, 07002, United States

    BAYONNE, NJ 070024654

    Phone: (201) 858-5249

    Type: Location

  • 1601 CLINT MOORE RD STE 115

    BOCA RATON, FL 334875712

    Phone: (561) 997-8484

    Fax: (561) 997-8429

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: CVRx, Inc. ($161).

Total Amount

$194

General + Research + Ownership

Payments

3

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CVRx, Inc.$161
Lilly USA, LLC$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231130003526IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406820414View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Physician AssistantFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify DR. ANDREW LELCHUK (DO) for billing?
Administrative and clinical systems typically use NPI 1063073906 for DR. ANDREW LELCHUK (DO).
Is DR. ANDREW LELCHUK (DO)'s NPI status active today?
Active status means DR. ANDREW LELCHUK (DO)'s NPI record is not deactivated in the public file.
What does the directory say DR. ANDREW LELCHUK (DO) does?
Insurance directories may phrase it differently, but here DR. ANDREW LELCHUK (DO) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ANDREW LELCHUK (DO)?
DR. ANDREW LELCHUK (DO) shows a connection to Jersey City, New Jersey in registry-derived data.
Why is information missing for DR. ANDREW LELCHUK (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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