Active NPI
Ryan Ray House, M.D.
- Ophthalmology Physician
- Fresh Meadows, NY
National Provider Identifier
1407389679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 312632
- Practice address
- 19213 Union Tpke
Fresh Meadows, NY 11366-1865 - Phone
- (718) 468-9800
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A157863 | CA | |
| Ophthalmology Physician | 207W00000X | 01087632A | IN | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 312632 | NY | |
| Ophthalmology Physician | 207W00000X | 312632 | NY | Primary |
Addresses
Primary practice location
19213 Union Tpke
Fresh Meadows, NY 11366-1865
Mailing address
19213 Union Tpke
Fresh Meadows, NY 11366-1865
Other practice location 1
5317 Roosevelt Ave
Woodside, NY 11377-8043
Phone (917) 633-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157863 | CA | MD | Ophthalmology Physician |
| 312632 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Ophthalmology P.C. | Ophthalmology | Current | Accepting new patients |
Locations
19213 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 468-9800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rhouse99769@direct.eskenazihealth.edu
- rhouse@pediatriceyemd.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Fresh Meadows, NY
- NPI 1942318563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1407389679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19213 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19213 UNION TPKE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661865",
"telephone_number": "718-468-9800"
}
],
"practiceLocations": [
{
"address_1": "5317 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113778043",
"country_code": "US",
"telephone_number": "917-633-2202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSE",
"first_name": "RYAN",
"middle_name": "RAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A157863",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01087632A",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "NY",
"license": "312632",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "312632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.