Steven Ingyu Ryu, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS029499L Issued in PA

Practice address

660 Newtown Yardley Rd
Suite 103
Newtown, PA 18940-1759

Phone

(215) 497-4977

Fax

(215) 497-4977

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ingyu Ryu Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Jersey Endodontics, PA

  • Endodontics
  • Cherry Hill, NJ
  • NPI 1952420739
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1386809952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 103",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401759",
            "telephone_number": "215-497-4977",
            "fax_number": "215-497-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NEWTOWN YARDLEY RD",
            "address_2": "SUITE 103",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401759",
            "telephone_number": "215-497-4977",
            "fax_number": "215-497-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "STEVEN",
        "middle_name": "INGYU",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS029499L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGYU",
            "last_name": "RYU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick J Rush, DPM
• Megan Marie Russell, PH.D.
• Rene L Russo, PHARM.D.
• Kelly Ryan
• Elyse Katheryn Ryden
• Catherine Sabatini, MS, LBS
• Leena Saini
• Jessica Salatino, LSW
• Steven John Salvatico, DC
• Lisa Lynne Sams

• Endodontics in Newtown, PA
• Providers in Newtown, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.