AUGUSTINE JOHN RYAN JR. (NPI# 1548361330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548361330 |
| Entity Type | Individual |
| Full Name | AUGUSTINE JOHN RYAN JR. |
| Credential | MD |
| Practice Address |
3980 Sheridan Dr Amherst NY 14226-1727 |
| Practice Telephone | 7199619900 |
| Practice Fax Number | 7169619911 |
| Mailing Telephone | 7169619900 |
| Mailing Fax Number | 7169619911 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
143304 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EXCELLUS UNIVERA | 00010152901 | 01 |
| NY | 01174249 | 05 | |
| NY | INDEPENDENT HEALTH | 2207620 | 01 |
| NY | HEALTH NOW | 005107711 | 01 |
| Street Address |
3980 SHERIDAN DR |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895271 | Linda S Tosetto | Physician Assistant | 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226-1727 | 2005-07-19 |
| 1902403058 | Elizabeth Cieslak | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-10-01 |
| 1952917866 | Nikita Rose Morales | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-09-17 |
| 1770196735 | Stephanie Grace Rogers | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2020-08-28 |
| 1467097717 | Torrie Lyn Wydysh | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2019-11-11 |
| 1578030862 | Delaney Shae Fragale | Physician Assistant | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-10-25 |
| 1982187811 | Rosanna Dziama | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-09-06 |
| 1306322961 | Kelly Stockdill | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-07-17 |
| 1912496910 | Traci Aladeen | Pharmacist | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2018-05-04 |
| 1740780733 | Noelle Marie Desantis | Dietitian, Registered | 3980 Sheridan Dr, Ste 401, Amherst, NY 14226-1727 | 2018-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144560483 | Robert C. Kolodny | Internal Medicine | 57 The Flume, Amherst, NH 03031-1520 | 2013-02-24 |
| 1114995388 | Jack Cukierman | Internal Medicine | 4247 Maple Rd, Amherst, NY 14226 | 2006-03-14 |
| 1114996279 | Shahid Haque | Internal Medicine | 4247 Maple Rd, Amherst, NY 14226 | 2006-03-14 |
| 1699775585 | Stuart Ross Chipkin | Internal Medicine | 31 Hall Dr, Amherst Medical Center, Amherst, MA 01002-2751 | 2005-07-21 |
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|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
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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.