Active NPI
Patricia Dolan Ryan, MD
- Hospitalist Physician
- Port Washington, NY
National Provider Identifier
1609204551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- NY143724
- Practice address
- 130 Shore Rd
166
Port Washington, NY 11050-2205 - Phone
- (516) 365-7133
- Fax
- (516) 365-7133
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NY143724 | NY | Primary |
Addresses
Primary practice location
130 Shore Rd
166
Port Washington, NY 11050-2205
Mailing address
130 Shore Rd
166
Port Washington, NY 11050-2205
Phone (516) 365-7133
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
| License | State | Type | Specialty |
|---|---|---|---|
| NY143724 | NY | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1609204551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SHORE RD",
"address_2": "166",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502205",
"telephone_number": "516-365-7133",
"fax_number": "516-365-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SHORE RD",
"address_2": "166",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502205",
"telephone_number": "516-365-7133",
"fax_number": "516-365-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "PATRICIA",
"middle_name": "DOLAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "NY143724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.