Organization Active NPI

Joshua Ryan MD PC

  • Neurological Surgery Physician
  • West Islip, NY
National Provider Identifier
1699383901
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Joshua Ryan, MDNPI 1750673208
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.