Active NPI
Joshua Ryan MD PC
- Neurological Surgery Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- JOSHUA RYAN MD PC
- Practice address
- 1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939 - Phone
- (631) 422-5371
- Fax
- (631) 893-8012
- NPI assigned
- Jul 22, 2020
- Last updated
- Jul 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Ryan, MD
- Title
- Owner
- Phone
- (631) 422-5371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Mailing address
4681 Veterans Memorial Hwy
Holbrook, NY 11741-4515
Phone (631) 422-5371
Other practice location 1
48 Route 25A Ste 302
Smithtown, NY 11787-1431
Phone (631) 422-5371
Other practice location 2
200 Belle Terre Rd Ste 300
Port Jefferson, NY 11777-1928
Phone (631) 422-5371
National Provider Directory
National Provider DirectoryLocations
200 Belle Terre Rd
Ste 300
Prt Jefferson, NY 11777
Phone (631) 331-0776
48 Route 25A
Ste 302
Smithtown, NY 11787
Phone (631) 422-5371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- West Islip, NY
- NPI 1750673208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1699383901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4681 VETERANS MEMORIAL HWY",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414515",
"telephone_number": "631-422-5371",
"fax_number": "631-893-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 MONTAUK HWY STE 6",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954939",
"telephone_number": "631-422-5371",
"fax_number": "631-893-8012"
}
],
"practiceLocations": [
{
"address_1": "48 Route 25A Ste 302",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117871431",
"country_code": "US",
"telephone_number": "631-422-5371",
"fax_number": "631-893-8012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Belle Terre Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Port Jefferson",
"state": "NY",
"postal_code": "117771928",
"country_code": "US",
"telephone_number": "631-422-5371",
"fax_number": "631-893-8012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOSHUA RYAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-422-5371",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.