JAE RYU (NPI# 1083013486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083013486 |
| Entity Type | Individual |
| Full Name | JAE RYU |
| Practice Address |
3900 Woodland Ave Philadelphia PA 19104-4551 |
| Practice Telephone | 2158235800 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
RP442764 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942379052 | Jae Ryu | Obstetrics & Gynecology | 133-47 Sanford Avenue, Flushing, NY 11355 | 2006-11-06 |
| Street Address |
3900 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389837 | Richard Alsdorf Jr. | Nurse Anesthetist, Certified Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-10-12 |
| 1487254744 | Jason Anthony Checchia | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-27 |
| 1639778327 | Bridget Murray | Physician Assistant | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-22 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1275131526 | Jonathan Mark Riley Jr. | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-09 |
| 1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
| 1467079103 | Rohit Singla | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1851918585 | Matthew Clayton Mckeeman | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1699392316 | Jooyeon Park | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1205453941 | Lauren Miller | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174051833 | Mitchell Edward Hughes | Pharmacist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2017-05-25 |
| 1386003291 | Abbey Burkholder Owens | Pharmacist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2016-02-19 |
| 1801195342 | William J O'hara | Pharmacist | 111 S 11th St, Suite 2260 Gibbon, Philadelphia, PA 19107-4824 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554985 | Ralph B Ferraro | Pharmacist | 134 Lakeview Dr, Scranton, PA 18505-2774 | 2018-07-19 |
| 1164084604 | Grant W Lee | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-07-04 |
| 1205304342 | Justine Maley | Pharmacist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2018-11-07 |
| 1649795097 | Benjamin Andrick | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-08-07 |
| 1750810172 | Zane Matthias Waite | Pharmacist | 1 Guthrie Square, Sayre, PA 18840 | 2017-06-08 |
| 1598213902 | Durga Zally | Pharmacist | 428 Windmere Dr, State College, PA 16801-7644 | 2016-09-14 |
| 1295100121 | David Marr | Pharmacist | 100 N Academy Ave, Danville, PA 17822-9800 | 2015-12-03 |
| 1225407265 | Jan Scott | Pharmacist | 1 Guthrie Square, Sayre, PA 18840 | 2015-09-21 |
| 1538535273 | Thao K Huynh | Pharmacist | 300 Halket St, Pittsburgh, PA 15213-3108 | 2015-08-17 |
| 1043644297 | Amanda Agnew | Pharmacist | 5150 Centre Ave, Upmc Cancer Pavilion, Room 456, Pittsburgh, PA 15232-1309 | 2013-08-23 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.