DR. JAE RYU
NPI 1942379052
Obstetrics & Gynecology in Flushing, NY
About Dr. Jae Ryu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAE RYU (NPI 1942379052) is an individual obstetrics & gynecology provider in Flushing, New York, licensed in New York (217530) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jae Ryu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jae Ryu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flushing, NY 11355
- Reassigned Medicare billing, New York enrollment
- 327 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Tjh Medical Services PC
- 497 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jae Ryu's NPI number?
The NPI number for Jae Ryu is 1942379052. It was assigned to this individual provider in the NPPES registry on November 6, 2006.
Where is Jae Ryu located?
Jae Ryu practices at 133-47 Sanford Avenue, Flushing, NY 11355. The listed phone number is (718) 359-1507.
What is Jae Ryu's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jae Ryu enrolled in Medicare?
Yes. Jae Ryu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jae Ryu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Ryu reassigns Medicare benefits to 2 organizations: Flushing Hospital & Medical Center (Flushing, NY) and Tjh Medical Services, P.C. (Jamaica, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jae Ryu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jae Ryu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jae Ryu · NPI 1942379052
Obstetrics & Gynecology physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since November 6, 2006.
## Identity
- **NPI:** 1942379052 (Entity type: Individual)
- **Enumerated:** November 6, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 217530 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 133-47 SANFORD AVENUE, Flushing, NY 11355
- **Phone:** (718) 359-1507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Flushing Hospital & Medical Center (NPI 1548217763, Flushing, NY); Tjh Medical Services, P.C. (NPI 1184670465, Jamaica, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 1997
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 0105PH (NY); Medicaid 02289430 (NY); Medicare UPIN H63030 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1942379052) · Data from the CMS NPPES public registry.