Yongki Colin Ryu, DC, MS, ICCSP, DGCSS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00659900 Issued in NJ

Practice address

633 Prospect Ave.
Ridgefield, NJ 07657-1712

Phone

(201) 313-0321

NPI assigned

May 1, 2007

Last updated

Mar 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Ace Chiropractic PC

  • Sports Physician Chiropractor
  • Ridgefield, NJ
  • NPI 1003162876
  Authorized official Same address or phone

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1912128471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PROSPECT AVE.",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571712",
            "telephone_number": "201-313-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PROSPECT AVE.",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571712",
            "telephone_number": "201-313-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "YONGKI",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DC, MS, ICCSP, DGCSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-011408-1",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-010717",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "06861",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "011408",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "001720",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00659900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgefield Board of Education
• Ridgefield Imaging Center Inc. (Ridgefield)
• Ridgefield Physical Therapy
• Ridgefield Physical Therapy LLC
• Xiomara Antonia Rojas, LMSW
• Alice Saraydarian, D.M.D.
• Cameron Serpico, OTR/L
• Harshit H Shah, PT
• Stephen Barry Sherer, M.D.F.A.C.C.
• Smile Dental Studio PC

• Sports Physician Chiropractor in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.