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Doughty and Ryzova Medical Group PC

NPI 1306394978ActiveOrganization· Pediatrics· Stony Brook, NY

Pediatrics in Stony Brook, New York, registered in NPPES in September 2016. The authorized official on file is Kathleen Ann Russo, Billing Manager.

Overview

NPI1306394978
StatusActive
Entity typeOrganization
NPI issuedSep 13, 2016
Last updated in NPPESNov 16, 2022
Certified by providerNov 16, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pediatrics providers in Stony Brook

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