Individual provider Active NPI

Sean James Ryan, RN

  • Family Nurse Practitioner
  • Brewster, NY
National Provider Identifier
1467090589
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345408 Issued in NY
Practice address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone
(845) 279-5187
Fax
(855) 703-7570
NPI assigned
Dec 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 724561 NY
Family Nurse Practitioner 363LF0000X F345408 NY Primary

Addresses

Primary practice location

111 Clock Tower CMNS
Brewster, NY 10509-4055

Mailing address

11 Aspen Rd
Hopewell Junction, NY 12533-6234
Phone (914) 618-0907

Other practice location 1

667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone (845) 279-5187

Other practice location 2

888 Route 6
Mahopac, NY 10541-6201
Phone (845) 279-5187

Other practice location 3

129 Clove Branch Rd
Hopewell Junction, NY 12533-5284
Phone (845) 279-5187

Other identifiers 1

IdentifierTypeStateIssuer
05954105MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20200527001471 NY Practitioner - Nurse Practitioner 1153742226 Reassigns benefits to 4 organizations
I20250410001274 CT Practitioner - Nurse Practitioner 1153742226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians
Urgent Care Medical of New York LLCGroup PAC ID 5890071443, 40 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

266 S Main St
Newtown, CT 06470-6706
Phone (860) 650-3848

80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848

Hospital & facility affiliations

  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
724561NYMDRegistered Nurse
F345408NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Medical of New York, LLC CurrentSince Apr 1, 2025 Accepting new patients
Urgent Care Medical Associates, LLC Family CurrentSince Apr 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 26, 2020 Accepting new patients
Northern Hudson Valley Medical PLLC CurrentSince Nov 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 26, 2020 Accepting new patients
Northern Medical Group, PLLC CurrentSince Sep 1, 2025 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

266 S Main St
Newtown, CT 06470
Phone (203) 270-9000

900 Main St S
Ste 100
Southbury, CT 06488
Phone (203) 262-1911

80 Route 6
Ste 704705
Baldwin Place, NY 10505
Phone (475) 253-2599

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

667 Stoneleigh Ave
Ste 117
Carmel, NY 10512
Phone (845) 230-5178

129 Clove Branch Rd
Hopewell Junction, NY 12533
Phone (845) 223-3050

111 Bedford Rd
Katonah, NY 10536
Phone (914) 232-3135

888 Route 6
Mahopac, NY 10541
Phone (845) 628-1492

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

342 Route 202
Somers, NY 10589
Phone (914) 277-4448

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: sryan714191@direct.ynhh.org

Organizations & group practices 7

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1467090589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ASPEN RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336234",
            "telephone_number": "914-618-0907",
            "fax_number": "855-703-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Stoneleigh Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122455",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Route 6",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105416201",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Clove Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125335284",
            "country_code": "US",
            "telephone_number": "845-279-5187",
            "fax_number": "855-703-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SEAN",
        "middle_name": "JAMES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "724561",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05954105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.