Kyung D. Ryu, M.S., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003662 Issued in NY

Practice address

1787 Middle Country Rd
Centereach, NY 11720-3507

Phone

(718) 321-3090

NPI assigned

Feb 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1649448325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14725 SANFORD AVE APT 3H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551212",
            "telephone_number": "718-321-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203507",
            "telephone_number": "718-321-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 W 91st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100241108",
            "country_code": "US",
            "telephone_number": "347-625-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYU",
        "first_name": "KYUNG",
        "middle_name": "D.",
        "credential": "M.S., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rouse, RN
• Jordan Taylor Rucks
• Desiree Rudbart, RN
• George Rulli, DC
• Dayna Russo
• Sacks Chiropractic, PC
• Ronald Allen Sacks, DC
• Alexa Sadowsky, LMFT
• Kerry Saladino, PT
• Farhana Salek

• Acupuncturist in Centereach, NY
• Providers in Centereach, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.