Individual provider Active NPI

David Alden Ryley, M.D.

  • Reproductive Endocrinology Physician
  • Brookline, MA
National Provider Identifier
1124065412
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
60014 Issued in MA
Practice address
1 Brookline PL Ste 302
Boston Ivf - the Boston Center
Brookline, MA 02445-7237
Phone
(617) 735-9000
Fax
(617) 738-8993
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 60014 MA Primary
Gynecology Physician 207VG0400X 60014 MA

Addresses

Primary practice location

1 Brookline PL Ste 302
Boston Ivf - the Boston Center
Brookline, MA 02445-7237

Mailing address

1 Brookline PL Ste 302
Boston Ivf - the Boston Center
Brookline, MA 02445-7237
Phone (617) 735-9000

Other identifiers 1

IdentifierTypeStateIssuer
0197041MedicaidMA

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

LicenseStateTypeSpecialty
60014MAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Ivf, Inc. Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1124065412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 302",
            "address_2": "BOSTON IVF - THE BOSTON CENTER",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457237",
            "telephone_number": "617-735-9000",
            "fax_number": "617-738-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 302",
            "address_2": "BOSTON IVF - THE BOSTON CENTER",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457237",
            "telephone_number": "617-735-9000",
            "fax_number": "617-738-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYLEY",
        "first_name": "DAVID",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MA",
            "license": "60014",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "60014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197041",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.