Active NPI
Dawn Marie Ryan, MA, CCC-SLP
- Speech-Language Pathologist
- Mattituck, NY
National Provider Identifier
1740326701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013491-1
- Practice address
- 165 Bungalow LN
Mattituck, NY 11952-2207 - Phone
- (631) 298-7335
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013491-1 | NY | Primary |
Addresses
Primary practice location
165 Bungalow LN
Mattituck, NY 11952-2207
Mailing address
165 Bungalow LN
Mattituck, NY 11952-2207
Phone (631) 298-7335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013491-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740326701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BUNGALOW LN",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119522207",
"telephone_number": "631-298-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 BUNGALOW LN",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119522207",
"telephone_number": "631-298-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013491-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattituck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.