Active NPIIndividual provider

Ryan Coelho, PA-C

Physician Assistant in Montville, New Jersey

NPI Number1043703200
Practice location
170 Changebridge RD Bldg C3, Montville, NJ 07045-9112
Fax
—
Last updated
January 15, 2024

Ryan Coelho is a Physician Assistant based in Montville, NJ. Ryan Coelho practices in Montville, NJ and has the professional credentials of PA-C. The NPI Number for Ryan Coelho is 1043703200 and holds a License No. 25MP00475600 (NJ). The current practice location address for Ryan Coelho is 170 Changebridge RD Bldg C3, Montville, NJ 07045-9112 and can be reached out via phone at 973-575-5540.

Provider Profile Details

NPI Number
1043703200
Provider Name
Ryan Coelho
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
170 Changebridge RD Bldg C3, Montville, NJ 07045-9112
Phone Number
973-575-5540
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2018
Last Update Date
January 15, 2024
Certification Date
January 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Changebridge RD Bldg C3
Montville, NJ 07045-9112
Zip
07045-9112
Phone Number
973-575-5540
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
402 Lippincott Dr
Marlton, NJ 08053-4112
City
Marlton
State
NJ
Zip
08053-4112
Phone Number
856-782-3300
Fax Number
856-504-8029

License Information

License Number
25MP00475600
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan Coelho, PA-C?

The NPI number of Ryan Coelho, PA-C is 1043703200. It was assigned on June 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Ryan Coelho, PA-C?

Ryan Coelho, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00475600.

Where does Ryan Coelho, PA-C practice?

The practice location is 170 Changebridge RD Bldg C3, Montville, NJ 07045-9112. The office can be reached at 973-575-5540 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043703200 directly on the NPPES registry website.

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