Individual provider Active NPI

Marilyn Jonas Ryan

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1417029349
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003790 Issued in NY
Practice address
3108 Kingsbridge Ave
Bronx, NY 10463-3902
Phone
(718) 601-1900
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003790 NY Primary

Addresses

Primary practice location

3108 Kingsbridge Ave
Bronx, NY 10463-3902

Mailing address

3108 Kingsbridge Ave
Bronx, NY 10463-3902
Phone (718) 601-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000660 NY Practitioner - Chiropractic 1052491693 Reassigns benefits to 2 organizations
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Fieldston Rd
2E
Bronx, NY 10463-2004
Phone (718) 601-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Our Gentle Touch Chiropractic of the Bronx, P.C. Chiropractor CurrentSince Dec 9, 2021 Accepting new patients
Jonas-Ryan Family Chiropractic PLLC Chiropractor CurrentSince Mar 19, 2025 Accepting new patients

Locations

5901 Palisade Ave
Bronx, NY 10471
Phone (718) 581-1000

2000 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 320-0400

8 Bond St
Ste 201
Great Neck, NY 11021

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1417029349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633902",
            "telephone_number": "718-601-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633902",
            "telephone_number": "718-601-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS RYAN",
        "first_name": "MARILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "003790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.