Individual provider Active NPI

Ryan Barkey, RDA-A, FASMLAP

  • Speech/Language/Hearing Specialist/Technologist
  • Kings Park, NY
National Provider Identifier
1851713382
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
12041708 Issued in NY
Practice address
15 Columbus Ave
Kings Park, NY 11754
Phone
(631) 987-9643
NPI assigned
Jan 17, 2014
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 12041708 NY
Anesthesiologist Assistant 367H00000X 37825865 NY
Student in an Organized Health Care Education/Training Program 390200000X 409640 NY
Basic Emergency Medical Technician 146N00000X 409640 NY
Speech/Language/Hearing Specialist/Technologist 235500000X 4586440 NY
Speech/Language/Hearing Specialist/Technologist 235500000X 12041708 NY Primary
Other Specialist/Technologist 246Z00000X 12041708 NY

Addresses

Primary practice location

15 Columbus Ave
Kings Park, NY 11754

Mailing address

15 Columbus Ave
Kings Park, NY 11754-4902
Phone (631) 987-9643

Other practice location 1

11-52 Engineers Rd.
Hauppauge, NY 11788
Phone (631) 987-9643

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

State licenses

LicenseStateTypeSpecialty
409640NYMDBasic Emergency Medical Technician
12041708NYMDSpeech/Language/Hearing Specialist/Technologist
4586440NYMDSpeech/Language/Hearing Specialist/Technologist
37825865NYMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Anesthesia Group Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1851713382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLUMBUS AVE",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544902",
            "telephone_number": "631-987-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLUMBUS AVE",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-987-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11-52 Engineers Rd.",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "11788",
            "country_code": "US",
            "telephone_number": "631-987-9643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKEY",
        "first_name": "RYAN",
        "credential": "RDA-A, FASMLAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-17",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NY",
            "license": "12041708",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NY",
            "license": "37825865",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "409640",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "409640",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "4586440",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "12041708",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NY",
            "license": "12041708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.