Active NPI
Ryan Steven Hirschfeld, M.D.
- Pediatrics Physician
- Stony Brook, NY
National Provider Identifier
1831459874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 312909
- Practice address
- 101 Nicolls Rd FL Hsc11
Stony Brook, NY 11794-2782 - Phone
- (631) 444-2648
- Fax
- (631) 444-2894
- NPI assigned
- May 24, 2012
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16643 | RI | |
| Internal Medicine Physician | 207R00000X | LP02555 | RI | |
| Internal Medicine Physician | 207R00000X | D0082449 | MD | |
| Pediatrics Physician | 208000000X | MD16643 | RI | |
| Pediatrics Physician | 208000000X | D0082449 | MD | |
| Pediatrics Physician | 208000000X | LP02555 | RI | |
| Pediatrics Physician | 208000000X | 312909 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd FL Hsc11
Stony Brook, NY 11794-2782
Mailing address
5 Heritage LN
Miller Place, NY 11764-3221
Phone (978) 270-0434
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ryan.hirschfeld@direct.stonybrookmedicine.edu |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0082449 | MD | MD | Internal Medicine Physician |
| LP02555 | RI | MD | Internal Medicine Physician |
| MD16643 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Pediatrics | Current | Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
101 Nicolls Rd
Fl HSC11
Stony Brook, NY 11794
Phone (631) 444-2648
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ryan.hirschfeld@direct.stonybrookmedicine.edu
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1831459874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HERITAGE LN",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643221",
"telephone_number": "978-270-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD FL HSC11",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117942782",
"telephone_number": "631-444-2648",
"fax_number": "631-444-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCHFELD",
"first_name": "RYAN",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16643",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02555",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0082449",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD16643",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0082449",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "LP02555",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "312909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ryan.hirschfeld@direct.stonybrookmedicine.edu",
"affiliation": "N",
"address_1": "101 Nicolls Rd Fl Hsc11",
"city": "Stony Brook",
"state": "NY",
"country_code": "US",
"postal_code": "117942782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.