DR. SIMON RYOO M.D. NPI 1962668442

NPI Information

  • NPI: 1962668442
  • Provider Name: DR. SIMON RYOO, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 227 FRANKLIN AVE
    HEWLETT, NY
    ZIP 11557
  • Phone: (516) 295-5500

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NPI Details

DR. Simon Ryoo, M.D. is a diagnostic radiology radiology in Hewlett, NY with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Simon Ryoo, M.D. NPI is 1962668442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

227 FRANKLIN AVE
HEWLETT, NY
ZIP 11557-902
Phone: (516) 295-5500
Fax: (516) 569-8225

The NPI 1962668442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of lower spinal canal without contrast (HCPCS:72148)

The enumeration date for this NPI number is 8/4/2008 and was last updated on 12/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology250426NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400041318MEDICARE PINNEW YORK
2A400049674MEDICARE PINNEW YORK
3G400023937MEDICARE PINNEW YORK
4A400059598MEDICARE PINNEW YORK
5G400023936MEDICARE PINNEW YORK
603256508MEDICAIDNEW YORK
7A400041316MEDICARE PINNEW YORK
8G400023935MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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