Individual provider Active NPI

Irene M Ryan, D.C.

  • Chiropractor
  • Atlantic City, NJ
National Provider Identifier
1700823770
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC00191400 Issued in NJ
Practice address
25 N Albany Ave
Atlantic City, NJ 08401-3569
Phone
(609) 345-3686
Fax
(609) 345-3698
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC00191400 NJ Primary

Addresses

Primary practice location

25 N Albany Ave
Atlantic City, NJ 08401-3569

Mailing address

25 N Albany Ave
Atlantic City, NJ 08401-3569
Phone (609) 345-3686

Other identifiers 2

IdentifierTypeStateIssuer
0116918000OtherNJAMERIHEALTH
RY542916OtherNJHORIZON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050621001088 NJ Practitioner - Chiropractic 5496790461 Practice locations: Atlantic City, NJ
I20060217000015 PA Practitioner - Chiropractic 5496790461 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Chiropractic Institute of New York, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 N Albany Ave
Atlantic City, NJ 08401-3569
Phone (609) 345-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC00191400NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Irene M. Ryan Chiropractor PastSince Jan 1, 1990 Accepting new patients
Dr. Irene M Ryan Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1700823770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N ALBANY AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013569",
            "telephone_number": "609-345-3686",
            "fax_number": "609-345-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N ALBANY AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013569",
            "telephone_number": "609-345-3686",
            "fax_number": "609-345-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "IRENE",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00191400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0116918000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "RY542916",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.