Richard Robert Ryan

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04442 Issued in NJ

Practice address

13 Village Center Dr
Freehold, NJ 07728-2526

Phone

(732) 431-6674

Fax

(732) 780-3752

NPI assigned

Aug 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

• Dr. Richard Robert Ryan Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Spine and Wellness Center LLCGroup PAC ID 1951487016, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Spine & Wellness Center LLC

  • Specialist
  • Clark, NJ
  • NPI 1588798409
  Medicare reassignment Care Compare group NPD
• Advanced Physical Medicine, LLC

  • Physical Therapist
  • Freehold, NJ
  • NPI 1861736365

  Chiropractor

  Medicare reassignment NPD
• Central Jersey Rehab Associates P.C.

  • Chiropractor
  • Freehold, NJ
  • NPI 1245423235
  Authorized official Same address or phone
• Freehold Spine Associates

  • Chiropractor
  • Freehold, NJ
  • NPI 1003153586
  Authorized official Same address or phone

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396754966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TOTTEN CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462800",
            "telephone_number": "732-617-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 VILLAGE CENTER DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282526",
            "telephone_number": "732-431-6674",
            "fax_number": "732-780-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RICHARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "RYAN",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Russo, D.C.
• Tyler J Russo, DC
• RX Prime Inc (Provision Pharmacy)
• Ryan Fields Total Health and Wellness LLC
• Diane Carol Ryan, P.T.
• Bonnie Ryder
• Alexandra Sacco
• Zubaida Sadik, M.D.
• Doreen Sadowski, DVM
• Katherine Saffer

• Chiropractor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.