Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew Rogall, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689025710

Dr. Andrew Rogall, MD is a Family Practice in Fulton, New York. Qualified in 2016, 10 years ago. Practices with Physician Care PC, a 77-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

522 S 4th St
Fulton, NY 13069-2946
Phone: (315) 592-3930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 — (337) 494-6767

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 300956-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689025710
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address110 W 6th St, Oswego, NY 13126-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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