Individual provider Active NPI

Edward F Ryan Jr., D.O.

  • Dermatology Physician
  • Bryn Mawr, PA
National Provider Identifier
1699703934
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS004391L Issued in PA
Practice address
919 Conestoga Rd 2-106
Bryn Mawr, PA 19010-1353
Phone
(610) 525-5028
Fax
(610) 672-0424
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS004391L PA Primary

Addresses

Primary practice location

919 Conestoga Rd 2-106
Bryn Mawr, PA 19010-1353

Mailing address

919 Conestoga Rd 2-106
Bryn Mawr, PA 19010-1353
Phone (610) 525-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000762 PA Practitioner - Dermatology 3971533043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Skin and Cancer LLPGroup PAC ID 8123098324, 10 clinicians

Practice addresses (Care Compare)

919 Conestoga Rd
Suite 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.19 of 100Reported as group
Quality
96.72
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1610
Removal or shaving of skin growth379
Skin biopsy304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS004391LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Skin & Cancer LLP CurrentSince Oct 1, 2015 Accepting new patients

Locations

919 Conestoga Rd
Ste 2-106
Bryn Mawr, PA 19010
Phone (610) 525-5028

919 Conestoga Rd
Ste 106
Bryn Mawr, PA 19010
Phone (215) 525-5028

919 Conestoga Rd
Bldg 2
Bryn Mawr, PA 19010
Phone (215) 525-5028

3855 West Chester Pike
Ste 325
Newtown Square, PA 19073
Phone (610) 337-3111

Organizations & group practices 1

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 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1699703934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD 2-106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101353",
            "telephone_number": "610-525-5028",
            "fax_number": "610-672-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD 2-106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101353",
            "telephone_number": "610-525-5028",
            "fax_number": "610-672-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS004391L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.