Individual provider Active NPI

Ryka Kristel Rosal, PT

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, NY
National Provider Identifier
1740835412
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
041587-1 Issued in CA
Practice address
309 W Park Ave
Long Beach, NY 11561-3241
Phone
(516) 568-7858
Fax
(516) 568-7860
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 041587-1 CA Primary
Physical Therapist 225100000X 041587-1 CA

Addresses

Primary practice location

309 W Park Ave
Long Beach, NY 11561-3241

Mailing address

15 Neil CT
Oceanside, NY 11572-5815
Phone (516) 766-0505

Other practice location 1

15 Neil Ct
Oceanside, NY 11572-5815
Phone (516) 766-0505

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
041587NYMDGeneral Practice Dentistry
041587-1CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1740835412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613241",
            "telephone_number": "516-568-7858",
            "fax_number": "516-568-7860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Neil Ct",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115725815",
            "country_code": "US",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAL",
        "first_name": "RYKA",
        "middle_name": "KRISTEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "041587-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "041587-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.