Individual provider Active NPI

David Rydz, MD

  • Clinic/Center
  • New York, NY
National Provider Identifier
1396187407
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
P87571 Issued in NY
Practice address
463 Columbus Ave Apt 9
New York, NY 10024-5172
Phone
(212) 305-0202
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X P87571 NY Primary

Addresses

Primary practice location

463 Columbus Ave Apt 9
New York, NY 10024-5172

Mailing address

463 Columbus Ave Apt 9
New York, NY 10024-5172
Phone (212) 305-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1396187407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 COLUMBUS AVE APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245172",
            "telephone_number": "212-305-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 COLUMBUS AVE APT 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245172",
            "telephone_number": "212-305-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "P87571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.