Kristen Ryczak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA09752700 Issued in NJ

Practice address

534 Lippincott Dr
Marlton, NJ 08053-4805

Phone

(856) 985-7373

Fax

(856) 985-9611

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Temple Faculty Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• Chestnut Hill Clinic Company, LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508936071

  Family Medicine

  Medicare reassignment NPD
• Drexel University

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095
  Medicare reassignment NPD
• Tower Drexel Academic Medical Group LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1780227488
  Medicare reassignment NPD
• Temple Faculty Practice Plan Inc

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD
• Chestnut Hill Clinic Company, LLC

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1811611692
  NPD
• Drexel University

  • Audiologist
  • Elkins Park, PA
  • NPI 1104822253
  NPD
• Drexel University

  • Rheumatology Physician
  • Philadelphia, PA
  • NPI 1437253762
  NPD
• Temple Faculty Practice Plan, Inc

  • Pulmonary Disease Physician
  • Philadelphia, PA
  • NPI 1104309889
  NPD
• Tower Drexel Academic Medical Group LLC

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1225660095
  NPD
• Tower Drexel Academic Medical Group LLC

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1306479829
  NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1356603872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643969",
            "telephone_number": "610-690-4490",
            "fax_number": "610-328-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-985-7373",
            "fax_number": "856-985-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCZAK",
        "first_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09752700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493767",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric M. Rubin, MD
• Sharon Ruder, PT
• Bryan C Russell, DC
• Mary Russo
• Leigh Ryan
• Julienne Ryland, DO
• Adam C. Saalfelder, APN
• Bruce Anthony Sabino
• Thomas Sacchetta Jr., DPM
• Safe and Included, LLC

• Family Medicine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.