Active NPI
Beverly Ann Ryan, MD
- Pediatric Hematology & Oncology Physician
- Hackensack, NJ
National Provider Identifier
1982610002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 25MA02874800
- Practice address
- 30 Prospect Ave
Tomorrows Childrens Institute
Hackensack, NJ 07601-1914 - Phone
- (201) 996-5437
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 25MA02874800 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Tomorrows Childrens Institute
Hackensack, NJ 07601-1914
Mailing address
30 Prospect Ave
Tomorrows Childrens Institute
Hackensack, NJ 07601-1914
Phone (201) 996-5437
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02874800 | NJ | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982610002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "TOMORROWS CHILDRENS INSTITUTE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-996-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "TOMORROWS CHILDRENS INSTITUTE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-996-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "BEVERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NJ",
"license": "25MA02874800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.