Eileen Marie Ryan, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007887-1 Issued in NY

Practice address

76 Summit Ave
Staten Island, NY 10306-1353

Phone

(718) 987-6040

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Speech Room

  • Speech-Language Pathologist
  • Aberdeen, NJ
  • NPI 1942717871
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1598061020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMIT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061353",
            "telephone_number": "718-987-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMIT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061353",
            "telephone_number": "718-987-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007887-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YSO2535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RX Box Pharmacy Corp. (Rx Box Pharmacy)
• RX Hero Inc. (Eltingville Pharmacy)
• Natalya Ryabchenko, OTR/L
• Anna Ryaboy, PT
• Alyssa Elizabeth Ryan, LCSW
• Erin J Ryan, PH.D.
• Kathryn Marie Ryan, LMSW
• Marisa Lee Ryan, MHC
• Maureen Ryan, LMSW
• Michael Ryan, CASAC-T

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.