Andrea L Ryan, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NN08674700 Issued in NJ

Practice address

528 E 5TH St
Florence, NJ 08518-2604

Phone

(609) 410-7605

Fax

(609) 360-0252

NPI assigned

Oct 19, 2006

Reactivated

Oct 19, 2022

Last updated

Mar 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Perelman School of Med at the University of Pennsylvania, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

NJ Behavioral Health Services PCGroup PAC ID 0648288712, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.76 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

89.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• NJ Behavioral Health Services PC

  • Clinical Psychologist
  • Paramus, NJ
  • NPI 1447289376
  Medicare reassignment Care Compare group NPD
• Ryan Behavioral Solutions, PC

  • Gerontology Clinical Nurse Specialist
  • Florence, NJ
  • NPI 1376965244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1770665192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E 5TH ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085182604",
            "telephone_number": "609-410-7605",
            "fax_number": "609-360-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E 5TH ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085182604",
            "telephone_number": "609-410-7605",
            "fax_number": "609-360-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "deactivation_date": "2022-09-30",
        "reactivation_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NN08674700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7955201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Owens
• Dawn Parks
• Ruben A Ramos, LAC
• Jessica Rodriguez
• Ryan Behavioral Solutions, PC
• Harsimrat Kaur Sandhu, DDS
• Holly Alise Sataloff, MSED.CCC-SLP
• April Seay
• Servelink
• Rosann Simpkins, RN

• Gerontology Nurse Practitioner in Florence, NJ
• Providers in Florence, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.