Simon Ryoo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

250426 Issued in NY

Practice address

227 Franklin Ave
Hewlett, NY 11557-1902

Phone

(516) 295-5500

Fax

(516) 569-8225

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Center at Harding Inc

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1922167105
  Medicare reassignment NPD
• Island Neurological Associates, P. C.

  • Neurology Physician
  • Plainview, NY
  • NPI 1558490656
  NPD (past)
• Imaging Center of Montville LLC

  • Diagnostic Radiology Physician
  • Montville, NJ
  • NPI 1396719993
  NPD (past)
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1962668442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034002",
            "telephone_number": "516-354-4200",
            "fax_number": "516-775-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FRANKLIN AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571902",
            "telephone_number": "516-295-5500",
            "fax_number": "516-569-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYOO",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "250426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03256508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Leona Roytburd
• Jennifer Rubin, FNP
• Inessa Rubinova, FNP-BC
• Irina Rubinstein, OTR/L
• Marlin Dayana Rubio, MASTER SOCIAL WORKER
• Danielle Sacks
• Daniel David Sacolick, MD
• Safari Unisex Salon Inc
• Alexander Saitta, NP
• Michael Jacob Salamon, PH.D.

• Diagnostic Radiology Physician in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.
• 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.