Active NPI
David Alden Ryley, M.D.
- Reproductive Endocrinology Physician
- Brookline, MA
National Provider Identifier
1124065412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 60014
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197041 | Medicaid | MA |
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 |
|---|---|---|---|
| 60014 | MA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Reproductive Endocrinology Physician
- Waltham, MA
- NPI 1326122839
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.