DR. JAE RYU (NPI# 1942379052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942379052 |
| Entity Type | Individual |
| Full Name | DR. JAE RYU |
| Practice Address |
133-47 Sanford Avenue Flushing NY 11355 |
| Mailing Address |
80 Marcus Drive Provider Enrollment Melville NY 11747 |
| Practice Telephone | 7183591507 |
| Mailing Telephone | 6313917887 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 217530 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02289430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083013486 | Jae Ryu | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2014-08-21 |
| Street Address |
133-47 SANFORD AVENUE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225013345 | Lou-fu Ni | Surgery | 133-47 Sanford Avenue, Ste 2, Flushing, NY 11355-5045 | 2005-12-12 |
| 1003868399 | Xueshu Zhang | Internal Medicine | 133-47 Sanford Avenue, Suite 1f, Flushing, NY 11355 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1083277701 | Tsz Wan Li | Obstetrics & Gynecology | 3808 Union St Ste 3g, Flushing, NY 11354-5544 | 2019-04-18 |
| 1194241562 | Tracy T. Vo | Obstetrics & Gynecology | 13511 40th Rd Ste 4a, Flushing, NY 11354-5329 | 2017-08-17 |
| 1952859746 | Active Medical PC | Obstetrics & Gynecology | 43-44 Kissena Blvd, Suite La, Flushing, NY 11355 | 2016-09-21 |
| 1184071433 | Ob-gyn Express Medical Services, Pllc | Obstetrics & Gynecology | 7062 Kissena Blvd Fl 2, Flushing, NY 11367-2245 | 2016-05-17 |
| 1710257837 | Bina Chaudhari-mody, Md PC | Obstetrics & Gynecology | 4370 Kissena Blvd # 1l, Flushing, NY 11355-3769 | 2012-01-05 |
| 1003110180 | Ella Uvadyeva | Obstetrics & Gynecology | 15319 75th Ave, Flushing, NY 11367-3066 | 2011-01-04 |
| 1881915197 | Mei Wang | Obstetrics & Gynecology | 13630 Maple Ave Ste 2k, Flushing, NY 11355-3868 | 2010-06-21 |
| 1659502748 | Dorota Witulska | Obstetrics & Gynecology | 13630 Maple Ave Ste 2h, Flushing, NY 11355-3868 | 2009-08-06 |
| Find all providers in FLUSHING | ||||
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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.