Kathy J Ryu, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00126700 Issued in NJ

Practice address

18 Sycamore Ave
Ho Ho Kus, NJ 07423-1582

Phone

(201) 857-0888

NPI assigned

Nov 1, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Elite Spine and Sports Care of Totowa

  • Physical Therapy Clinic/Center
  • Totowa, NJ
  • NPI 1306231527
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1952813719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD PALISADE RD APT 6D",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-857-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00126700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Cuore Romito, LCSW
• Alanna M Rooney, DPT
• Brian Roth, DMD
• Ariel Tzvi Rozenberg, LAC
• Melissa Russofranco
• Marissa Sala, D.D.S.
• Rose Marie Santos-Martinez, O.T.R.
• Seung U Shon Dmdpc (Ho Ho Kus Root Canal)
• Sheridan Cannonllc
• Irene Shevelev, MD

• Acupuncturist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.