RYAN MOBILE MEDICAL VAN
NPI 1013331594
Clinic/Center in New York, NY

Q: What is William F Ryan Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since February 05, 2014CLIA 33D1014761 · Waiver

110 W 97TH ST, NEW YORK, NY 10025(212) 749-1820(212) 280-4793 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Nov 7, 2023, Nov 19, 2015 (3 updates tracked since 2015).

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About Ryan Mobile Medical Van NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN MOBILE MEDICAL VAN (NPI 1013331594) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jose Virella, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013331594

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWILLIAM F RYAN COMMUNITY HEALTH CENTER INC

Location Address110 W 97TH STNew York, NY 10025-6450

Mailing Address110 W 97th StNew York, NY 10025-6450 · (212) 749-1820 · Fax (212) 932-8323

Phone(212) 749-1820

Fax(212) 280-4793

Organization SubpartNo

Authorized OfficialJose VirellaChief Financial Officer · (212) 316-7906

Enumeration DateFebruary 5, 2014

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1013331594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

110 W 97TH ST, New York, NY 10025

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Other Names 1

Doing Business AsRyan Mobile Medical Van

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1014761

William F Ryan Community Health Center Annex Women And Children's Center · New York, NY

Active · expires Mar 26, 2027

CLIA Number33D1014761

Laboratory TypeCommunity Clinic

Certificate Effective DateAugust 11, 2014

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Rashanna D. Lynch

Laboratory Phone(212) 769-7200

Laboratory LocationWilliam F Ryan Community Health Center Annex Women And Children's Center801 Amsterdam Ave, New York, NY 10025

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIE ANNE CHELOUCHE CPNP-PC, RN, CPN

Nurse Practitioner (Pediatrics)