Individual provider Active NPI

Paula Maria Cerqueira Ryo, DO

  • Family Medicine Physician
  • Brookville, NY
National Provider Identifier
1154418044
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
240223 Issued in NY
Practice address
600 Northern Boulevard
Brookville, NY 11568-1214
Phone
(516) 686-1300
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 240223 NY Primary

Addresses

Primary practice location

600 Northern Boulevard
Brookville, NY 11568-1214

Mailing address

600 Northern Boulevard
Old Westbury, NY 11568
Phone (516) 686-7773

Other identifiers 1

IdentifierTypeStateIssuer
03223287MedicaidNY

Other names 1

  • Dr. Paula Maria Cerqueira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000423 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5496885832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Institute of TechnologyGroup PAC ID 3779496039, 42 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Greenvale, NY 11548-1214
Phone (516) 686-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
New York Institute of Technology Family Medicine Current Accepting new patients
New York Institute of Technology Family Medicine CurrentSince Jun 2, 2014 Accepting new patients
New York Institute of Technology Family Medicine CurrentSince Jun 2, 2014 Accepting new patients

Locations

267 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254

600 Northern Blvd
Greenvale, NY 11548
Phone (516) 686-3849

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: paula.ryo@nyitahcc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1154418044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BOULEVARD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "11568",
            "telephone_number": "516-686-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BOULEVARD",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "115681214",
            "telephone_number": "516-686-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERQUEIRA RYO",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "240223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03223287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "CERQUEIRA",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookville, NY

Sources for this page

Verify at the official NPI Registry.