Active NPIIndividual provider

Lisa S Ryoo, OTR/L

Occupational Therapist in Wyckoff, New Jersey

NPI Number1912593138
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
December 13, 2020

Lisa Suhyun Ryoo is an Occupational Therapist based in Wyckoff, NJ. Lisa Suhyun Ryoo practices in Wyckoff, NJ and has the professional credentials of OTR/L. The NPI Number for Lisa Suhyun Ryoo is 1912593138 and holds a License No. 46TR00957200 (NJ). The current practice location address for Lisa Suhyun Ryoo is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-655-8424.

Provider Profile Details

NPI Number
1912593138
Provider Name
Lisa Suhyun Ryoo
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
201-655-8424
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
December 13, 2020
Last Update Date
December 13, 2020
Certification Date
December 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
201-655-8424
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
60 Cedar St
Ridgefield Park, NJ 07660-1624
City
Ridgefield Park
State
NJ
Zip
07660-1624
Phone Number
201-655-8424

License Information

License Number
46TR00957200
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa S Ryoo, OTR/L?

The NPI number of Lisa S Ryoo, OTR/L is 1912593138. It was assigned on December 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Lisa S Ryoo, OTR/L?

Lisa S Ryoo, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00957200.

Where does Lisa S Ryoo, OTR/L practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-655-8424 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912593138 directly on the NPPES registry website.

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