Cody T Ryan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

188 N 2ND St
Bethpage, NY 11714-2102

Phone

(516) 993-8297

NPI assigned

Aug 26, 2014

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1811397946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 N 2ND ST",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142102",
            "telephone_number": "516-993-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 N 2ND ST",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142102",
            "telephone_number": "516-993-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CODY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Rubin, LCSW-R
• Laurence Rubin, MD
• Brent Russell, LMSW
• Stephanie Michelle Russell
• Leah Gillgannon Russo, M.A., CCC-SLP
• Melissa Ryan
• Tina Lynn Ryan, L.M.T
• Jennifer Leigh Sachs, LCSW
• Prem L Sagar, M.D.,F.A.C.P.
• Sushil Sagar, MD,FACP,FASN

• Athletic Trainer in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.