Organization Active NPI

Ryan Behavioral Solutions, PC

  • Gerontology Clinical Nurse Specialist
  • Florence, NJ
National Provider Identifier
1376965244
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
Legal business name
RYAN BEHAVIORAL SOLUTIONS, PC
Practice address
528 E 5TH St
Florence, NJ 08518-2604
Phone
(609) 410-7605
Fax
(609) 360-0252
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Mrs. Andrea Ryan, APN-CNPI 1770665192
Title
President
Phone
(609) 410-7605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SG0600X Primary

Addresses

Primary practice location

528 E 5TH St
Florence, NJ 08518-2604

Mailing address

528 E 5TH St
Florence, NJ 08518-2604
Phone (609) 410-7605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000748 NJ Part B Supplier - Clinic/Group Practice 5890928253 Receives reassigned benefits from 1 practitioner
Practice locations: Deptford, NJ; Florence, NJ; Hammonton, NJ; Ocean View, NJ

National Provider Directory

National Provider Directory

Locations

2721 US Route 9
Ocean View, NJ 08230
Phone (609) 624-1715

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1376965244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E 5TH ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085182604",
            "telephone_number": "609-410-7605",
            "fax_number": "609-360-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E 5TH ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085182604",
            "telephone_number": "609-410-7605",
            "fax_number": "609-360-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN BEHAVIORAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-410-7605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.