Patrick Gerard Ryan

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307714 Issued in NY

Practice address

100 Carlyle Dr # 6a-South
Cliffside Park, NJ 07010-3501

Phone

(646) 413-1956

NPI assigned

Dec 1, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1285271908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARLYLE DR # 6A-SOUTH",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103501",
            "telephone_number": "646-413-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARLYLE DR # 6A-SOUTH",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103501",
            "telephone_number": "646-413-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "GERARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER IN ADULT HEALTH",
            "identifier": "307714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Rodriguez
• Carole M Rothstein, LCSW
• Leonid Rubinov, DDS
• Catherine A Ruiz Santos, DDS PC
• Prunela Rundlett, PHYSICAL THERAPIST
• Igor Rybin, LMT
• Feodor A Sakatch, D.C.
• Mina Nader Salama, DPT
• Carmen R Salcedo, D.D.S
• Jaci Santana

• Adult Health Nurse Practitioner in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.