Ryan Housam, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09108300 Issued in NJ

Practice address

3322 Route 22 Ste 1002
Branchburg, NJ 08876-4403

Phone

(908) 725-5530

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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.

• Buono Pediatrics and Wellness

  • Pediatrics Physician
  • Millburn, NJ
  • NPI 1811452337
  NPD (past) PEDIATRICS
• Somerset Pediatric Group, LLC

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1306922992
  NPD (past) PEDIATRICS

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25006/brand/1/csg/1/fhir/r4
• Direct secure messaging: rhousam58107@epicdirect.rwjbh.org
• FHIR API: https://fhir4.healow.com/fhir/r4/CDCDAA/Endpoint/CDCDAA

• Ryan Fitzgerald Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2012.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1336345313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 ROUTE 22 STE 1002",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-725-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 ROUTE 22 STE 1002",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-725-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSAM",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT190141",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD438508",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09108300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "FITZGERALD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hope Ave Therapy Services LLC
• Hope Pharmacy
• Hope Pharmacy
• Alyssa Horowitz, MD
• Hospitality NP Services LLC
• House of Pi Luxe
• Kevin Joseph Hrabinski, O.D.
• Hunterdon Medical Center
• Hunterdon Medical Center
• Hunterdon Primary Care, PC

• All providers in Branchburg, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.