Individual provider Active NPI

Ronald I Ryzoff, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Long Beach, NY
National Provider Identifier
1588969265
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
086960 Issued in NY
Practice address
42 Heron St
Long Beach, NY 11561-2609
Phone
(516) 897-5095
Fax
(516) 897-5095
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 086960 NY Primary

Addresses

Primary practice location

42 Heron St
Long Beach, NY 11561-2609

Mailing address

42 Heron St
Long Beach, NY 11561-2609
Phone (516) 897-5095

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
086960NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1588969265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HERON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612609",
            "telephone_number": "516-897-5095",
            "fax_number": "516-897-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HERON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612609",
            "telephone_number": "516-897-5095",
            "fax_number": "516-897-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYZOFF",
        "first_name": "RONALD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "086960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.