Individual provider Active NPI

Ryan Michael Hrehowsik, D.C.

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1942410873
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00561200 Issued in NJ
Practice address
776 Amboy Ave
Suite 200
Edison, NJ 08837-3224
Phone
(732) 661-0330
Fax
(732) 661-1366
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00561200 NJ Primary

Addresses

Primary practice location

776 Amboy Ave
Suite 200
Edison, NJ 08837-3224

Mailing address

776 Amboy Ave
Suite 200
Edison, NJ 08837-3224
Phone (732) 661-0330

Other identifiers 2

IdentifierTypeStateIssuer
223823723OtherNJTAX ID
P2720518OtherNJOXFORD PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000779 NJ Practitioner - Chiropractic 2163460155 Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

776 Amboy Ave
Suite 200
Edison, NJ 08837-3272
Phone (732) 661-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1942410873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 AMBOY AVE",
            "address_2": "SUITE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373224",
            "telephone_number": "732-661-0330",
            "fax_number": "732-661-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 AMBOY AVE",
            "address_2": "SUITE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373224",
            "telephone_number": "732-661-0330",
            "fax_number": "732-661-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HREHOWSIK",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00561200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223823723",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P2720518",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.