Individual provider Active NPI

Stephen D Rycyna Jr., MD

  • Orthopaedic Surgery Physician
  • Amherst, NY
National Provider Identifier
1477512739
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1237671 Issued in NY
Practice address
3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000
Phone
(716) 250-9999
Fax
(716) 250-4177
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1237671 NY Primary

Addresses

Primary practice location

3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000

Mailing address

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000987 NY Practitioner - Orthopedic Surgery 0547385437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine Medical Services PLLCGroup PAC ID 9032103056, 56 clinicians

Practice addresses (Care Compare)

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1237671NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dia Invision Health CurrentSince Jun 1, 2020 Accepting new patients
Excelsior Orthopaedics LLP Orthopaedic Surgery CurrentSince Jul 15, 2002 Accepting new patients
Excelsior Orthopaedics, LLP Orthopaedic Surgery CurrentSince Jul 15, 2002 Accepting new patients
Brain & Spine Medical Services PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

3925 Sheridan Dr
Ste 100
Buffalo, NY 14226
Phone (716) 250-6492

2540 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 862-0567

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Organizations & group practices 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1477512739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215771",
            "telephone_number": "716-631-3555",
            "fax_number": "716-250-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCYNA",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1237671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.