Active NPI
Ryan F Keegan, DVM ACVIM
- Specialist
- Spring Lake, NJ
National Provider Identifier
1417511833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 29V100600000
- Practice address
- 410 Essex Ave
Spring Lake, NJ 07762 - Phone
- (732) 221-3964
- Fax
- (732) 974-8240
- NPI assigned
- May 1, 2019
- Last updated
- May 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 29V100600000 | NJ | Primary |
Addresses
Primary practice location
410 Essex Ave
Spring Lake, NJ 07762
Mailing address
410 Essex Ave
Spring Lake, NJ 07762
Phone (732) 221-3964
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29V100600000 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1417511833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 ESSEX AVE",
"city": "SPRING LAKE",
"state": "NJ",
"postal_code": "07762",
"telephone_number": "732-221-3964",
"fax_number": "732-974-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 ESSEX AVE",
"city": "SPRING LAKE",
"state": "NJ",
"postal_code": "07762",
"telephone_number": "732-221-3964",
"fax_number": "732-974-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "RYAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DVM ACVIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "29V100600000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.