Individual provider Active NPI

Ryan Irene Bittner

  • Specialist
  • Chestnut Ridge, NY
National Provider Identifier
1124889092
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
501 Chestnut Ridge Rd Ste 205
Chestnut Ridge, NY 10977-5669
Phone
(845) 638-3072
Fax
(845) 638-3073
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

501 Chestnut Ridge Rd Ste 205
Chestnut Ridge, NY 10977-5669

Mailing address

2 Post LN
Palisades, NY 10964-1513
Phone (651) 470-6424

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1124889092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POST LN",
            "city": "PALISADES",
            "state": "NY",
            "postal_code": "109641513",
            "telephone_number": "651-470-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHESTNUT RIDGE RD STE 205",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775669",
            "telephone_number": "845-638-3072",
            "fax_number": "845-638-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "RYAN",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.