Maria Emanuel Ryan, DDS, PHD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0448091 Issued in NY

Practice address

Stony Brook University SDM
Westchester Hall, Dept of OB&P
Stony Brook, NY 11794-0001

Phone

(631) 632-9529

Fax

(631) 932-9705

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1710141213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIDGE ROAD",
            "city": "LAUREL HOLLOW",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-692-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY SDM",
            "address_2": "WESTCHESTER HALL, DEPT OF OB&P",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-9529",
            "fax_number": "631-932-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MARIA",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "0448091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rutkowsky
• Robert Ruzic, MS
• Ryan L Clements Psy.D. LLC
• Adam T Ryan, MD
• Julia Ryan, MD
• Patrick Ryan, MD
• Samuel Ryu, M.D.
• Yekaterina Ryzova-Vaysman, MD
• Merissa Ann Rzonca, MD
• Whitney Saarem, DMD

• Periodontics in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.