Active NPI
Joshua Everette Ryan, MD
- Neurological Surgery Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 287395
- Practice address
- 1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939 - Phone
- (631) 422-5371
- Fax
- (631) 893-8012
- NPI assigned
- May 3, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 287395 | NY | Primary |
Addresses
Primary practice location
1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Mailing address
1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Phone (631) 422-5371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 E Main St
Suite 2B
Huntington, NY 11743-2845
Phone (631) 337-7698
1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939
Phone (631) 337-7698
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 337-7698
301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 337-7698
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- Good Samaritan Hospital Medical Center
- North Shore University Hospital
- John T Mather Memorial Hospital of Port Jefferson
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 81 |
| Laminectomy or laminotomy (partial removal of spine bones) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287395 | NY | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical of Manhasset, PC | Multi-Specialty | Current | Accepting new patients |
Locations
4681 Veterans Memorial Hwy
Holbrook, NY 11741
Phone (631) 482-9977
110 E Main St
Ste 2B
Huntington, NY 11743
Phone (631) 337-7698
1175 Montauk Hwy
Ste 6
West Islip, NY 11795
Phone (631) 422-5371
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- West Islip, NY
- NPI 1184487001
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1750673208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": [],
"basic": {
"last_name": "RYAN",
"first_name": "JOSHUA",
"middle_name": "EVERETTE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NY",
"license": "287395",
"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 Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.