Rye Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RYE FAMILY PRACTICE PC

Practice address

692 W 204TH St
New York, NY 10034-3027

Phone

(646) 329-6490

NPI assigned

May 17, 2007

Last updated

Jun 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert SamaniegoNPI 1083632392

Title

Owner

Phone

(718) 930-7030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Samaniego, M.D

  • Family Medicine Physician
  • Rye, NY
  • NPI 1083632392
  Medicare reassignment Care Compare group NPD Authorized official
• Bobbie Eapen, P.A.

  • Physician Assistant
  • Syosset, NY
  • NPI 1326338153
  Medicare reassignment Care Compare group
• Ruby Mathew

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1407265580
  Medicare reassignment NPD
• Raul Alberto Ulloa, M.D.

  • Family Medicine Physician
  • Valhalla, NY
  • NPI 1841330107
  Medicare reassignment NPD
• Jean-Carlos Jimenez, M.D.

  • Hospitalist Physician
  • Sharon, CT
  • NPI 1801154455

  Family Medicine, NY

  Medicare reassignment NPD
• Jeya Balasubramanian, PA

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1902931785
  Medicare reassignment
• Barbara Hoffman, PA-C

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1275024952
  Medicare reassignment
• Dominick F. Reda, M.D.

  • Nephrology Physician
  • Yonkers, NY
  • NPI 1033296439
  NPD (past)
• Majed Mark Samarneh, MD

  • Internal Medicine Physician
  • Yonkers, NY
  • NPI 1366687139
  NPD (past)
• Mauricio Valdes, M.D.

  • Nephrology Physician
  • Yonkers, NY
  • NPI 1215017769
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1578770459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 W 204TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343027",
            "telephone_number": "646-329-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 W 204TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343027",
            "telephone_number": "646-329-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-930-7030"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John George Ryder, PH.D.
• Walter W. Ryder Jr., PHARMACIST
• Perri Rydstrom
• David Rydz, MD
• Rye Eye Care OD PLLC (Kips Bay Optical)
• Shannon Nicole Ryemon, MD
• Susan Hazlett Ryf, PSY.D.
• Jayne Louise Rygh, PH.D.
• Hilary Ryglewicz, LCSW
• Anastasia Nicole Ryhanych, MD

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.