Individual provider Active NPI

Ryan Cuerdon, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1417447277
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6535 Issued in MA
Practice address
330 Brookline Ave Dept of
Boston, MA 02215-5491
Phone
(617) 667-3940
Fax
(617) 667-2155
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1977 NH
Physician Assistant 363A00000X PA6535 MA Primary

Addresses

Primary practice location

330 Brookline Ave Dept of
Boston, MA 02215-5491

Mailing address

330 Brookline Ave Dept of
Boston, MA 02215-5491
Phone (617) 667-3940

Other practice location 1

7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523
Phone (603) 742-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180614000826 MA Practitioner - Physician Assistant 3072868132 Reassigns benefits to 5 organizations
I20250107001302 NH Practitioner - Physician Assistant 3072868132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

67 Corporate Dr
Portsmouth, NH 03801-2847

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222

73 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 610-8075

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1977NHMDPhysical Therapist
PA6535MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 22, 2018 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 22, 2018 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Feb 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 22, 2018 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Feb 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 22, 2018 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732

67 Corporate Dr
Bldg A
Portsmouth, NH 03801
Phone (603) 431-5529

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878
Phone (603) 740-6510

Interoperability endpoints

  • Direct secure messaging: cuerdon.ryan.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rcuerdon28587@tuftsmedicine.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1417447277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-3940",
            "fax_number": "617-667-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155491",
            "telephone_number": "617-667-3940",
            "fax_number": "617-667-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Marsh Brook Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Somersworth",
            "state": "NH",
            "postal_code": "038786523",
            "country_code": "US",
            "telephone_number": "603-742-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUERDON",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1977",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.