Ryu LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RYU LLC

Practice address

18 Park Ave
Mount Airy, MD 21771-5438

Phone

(301) 703-8230

Fax

(301) 703-8219

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Ji Woon Ryu, DC

Title

Chiropractor

Phone

(301) 703-8230

Specialties & licenses 1

Addresses

Other names 1

• Park Avenue Chiropractic Doing business as

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1609645035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 LARGO CT",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722024",
            "telephone_number": "607-423-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PARK AVE",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715438",
            "telephone_number": "301-703-8230",
            "fax_number": "301-703-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "JI WOON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "301-703-8230",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Roys, LCSW-C
• Morgan Rudeau, OD
• Colleen Rita Rush, PA-C
• Mary Ann Russo, LCPC
• Jennifer Lynn Ryan
• Jiwoon Ryu, DC
• Safe Harbor Christian Counseling
• Linda Schenke
• Aimie Schneider
• Alyson Paige Schroeder, M.S., CF-SLP

• Clinic/Center in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.