Active NPI
Willowdale Health LLC
- Psychiatry Physician
- Jamaica, NY
National Provider Identifier
1386529568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WILLOWDALE HEALTH LLC
- Practice address
- 18215 Hillside Ave
Jamaica, NY 11432-4853 - Phone
- (718) 291-8200
- NPI assigned
- Aug 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Helen Ryu, MD
- Title
- Member
- Phone
- (646) 770-4508
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
18215 Hillside Ave
Jamaica, NY 11432-4853
Mailing address
124 Fairview Ave
Great Neck, NY 11023-1334
Phone (646) 770-4508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651
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": "1754524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1386529568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 FAIRVIEW AVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231334",
"telephone_number": "646-770-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18215 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114324853",
"telephone_number": "718-291-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOWDALE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "RYU",
"authorized_official_first_name": "HELEN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "646-770-4508",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.