Active NPI
Connor James Gerard Ryan, FNP-BC
- Physician Assistant
- Troy, NY
National Provider Identifier
1982514154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 360070
- Practice address
- 1401 Massachusetts Ave
Troy, NY 12180-1621 - Phone
- (518) 268-5242
- Fax
- (518) 268-5480
- NPI assigned
- Sep 10, 2026
- Last updated
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 360070 | NY | Primary |
Addresses
Primary practice location
1401 Massachusetts Ave
Troy, NY 12180-1621
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice location 1
1440 Western Ave
Albany, NY 12203-3421
Phone (518) 451-7570
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1982514154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MASSACHUSETTS AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121801621",
"telephone_number": "518-268-5242",
"fax_number": "518-268-5480"
}
],
"practiceLocations": [
{
"address_1": "1440 Western Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122033421",
"country_code": "US",
"telephone_number": "518-451-7570",
"fax_number": "518-621-5691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "CONNOR",
"middle_name": "JAMES GERARD",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "360070",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1401 Massachusetts Ave",
"city": "Troy",
"state": "NY",
"country_code": "US",
"postal_code": "121801621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.