Active NPI
Ryan Flannigan, MD
- Urology Physician
- New York, NY
National Provider Identifier
1114473758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2824441
- Practice address
- 525 E 68TH St
Starr 9, Brady Urology, 9TH Floor
New York, NY 10065-4870 - Phone
- (917) 755-1702
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2824441 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
Starr 9, Brady Urology, 9TH Floor
New York, NY 10065-4870
Mailing address
525 East 68TH Street
Starr 9, Brady Urology, 9TH Floor
New York, NY 10065
Phone (917) 755-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2824441 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1114473758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 EAST 68TH STREET",
"address_2": "STARR 9, BRADY UROLOGY, 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "917-755-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "STARR 9, BRADY UROLOGY, 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "917-755-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNIGAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "2824441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.