NPIMap

Organization Active NPI

William F Ryan Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1124347182
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Practice address
801 Amsterdam Ave
New York, NY 10025-5704
Phone
(212) 749-1820
NPI assigned
May 28, 2010
Organization subpart
Yes
Parent organization
WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Mr. Jose Virella
Title
Chief Financial Officer
Phone
(212) 316-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

801 Amsterdam Ave
New York, NY 10025-5704

Mailing address

801 Amsterdam Ave
New York, NY 10025-5704
Phone (212) 749-1820

Other identifiers 1

IdentifierTypeStateIssuer
03485765MedicaidNY

Other names 2

  • Ryan Women & Children's Community Health Center Doing business as
  • The Ryan Women & Children's Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041023000026 NY Part B Supplier - Clinic/Group Practice 4880596550 Receives reassigned benefits from 203 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY
O20110204000004 NY Part A Provider - Federally Qualified Health Center (FQHC) 4880596550 Practice locations: New York, NY

Federally qualified health center certification: CCN 331013

Legal name
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Doing business as
THE RYAN WOMEN & CHILDRENS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 4, 2011
Last certification
Feb 4, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1970 in NY
Enrollment address
801 Amsterdam Ave
New York, NY 10025-5752
Related CCNs
331826

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1014761William F Ryan Community Health Center Annex801 Amsterdam Ave, New York, NY 10025Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Part of
Ryan Nena CHC

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Valeria Spann Individual Corporate DirectorBoard Member Jun 21, 2010
Valentine Hernandez Individual W-2 Managing EmployeeExecutive Director Mar 9, 2019
Harriet King Individual Corporate DirectorBoard Vice President Jun 21, 2010
Anyanate G Jack Individual Corporate OfficerBoard Member Jul 1, 2019
Philip Chen Individual Corporate OfficerBoard Member Jul 13, 2015
Margaret Gramins Individual Corporate OfficerBoard Member Jun 5, 2017
Lois Dorman Individual Corporate OfficerBoard Member Jul 1, 2019
Brian McIndoe Individual Corporate DirectorCeo & President Mar 3, 2015
Hope Mason Individual Corporate DirectorBoard Member Jun 21, 2010
Atif Abdul Haqq Individual Corporate DirectorBoard Member Oct 1, 2013
Juli a Harkins Individual Corporate OfficerBoard Member Jul 1, 2016
Ronald Guy Individual Corporate DirectorBoard President Jun 21, 2010
Joseph Haslip Individual Corporate DirectorBoard Member Jan 1, 2013
Ronnie Lowenstein Individual Corporate OfficerBoard Member Nov 6, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1124347182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255704",
            "telephone_number": "212-749-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255704",
            "telephone_number": "212-749-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F RYAN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-316-7906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03485765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Women & Children's Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ryan Women & Children's Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ryan Women & Children's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.