Organization Active NPI

Jeffrey Ryan Family Medicine PLLC

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1508024332
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEFFREY RYAN FAMILY MEDICINE PLLC
Practice address
411 New Karner Rd
Albany, NY 12205-3809
Phone
(518) 608-6329
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Jeffrey Ryan, DO
Title
Owner
Phone
(800) 916-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

411 New Karner Rd
Albany, NY 12205-3809

Mailing address

411 New Karner Rd
Albany, NY 12205-3809
Phone (518) 608-6329

Other identifiers 1

IdentifierTypeStateIssuer
02243176MedicaidNY

National Provider Directory

National Provider Directory

Locations

411 New Karner Rd
Albany, NY 12205
Phone (518) 608-6329

500 New Karner Rd
Ste 1
Albany, NY 12205
Phone (518) 459-2665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1508024332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053809",
            "telephone_number": "518-608-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053809",
            "telephone_number": "518-608-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY RYAN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-916-5270",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02243176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.