Ryan Tiernan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

033610 Issued in NY

Practice address

2515 Crescent St
Astoria, NY 11102-4370

Phone

(718) 998-9880

NPI assigned

Mar 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precision Pain Management, PC

  • Interventional Pain Medicine Physician
  • Astoria, NY
  • NPI 1003124132
  Medicare reassignment
• Prime One Medical Services PLLC

  • Ambulatory Surgical Clinic/Center
  • Astoria, NY
  • NPI 1912304130
  NPD (past)

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1306647789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024370",
            "telephone_number": "718-998-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seethal Sara Thomas, FNP-BC, RN-BSN
• Vini Grace Thomas
• Abiona Nailah Thompson
• Vaneza Joy Engco Tiama
• Giovanni Achas Tidoy
• Rebecca Tiesling
• Steven M Tillem, M.D.
• Dianne Tinana, PT
• Stephanie Tituana, OD
• Andrew Titus, LCSW

• Physician Assistant in Astoria, NY
• Providers in Astoria, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.