Active NPIIndividual providerSole proprietor

Dr. Ryan Cassilly, MD

Orthopaedic Surgery in Fair Lawn, New Jersey

NPI Number1235455924
Practice location
28-04 Broadway, Fair Lawn, NJ 07410-3913
Fax
—
Last updated
July 20, 2016

Ryan Cassilly is an Orthopaedic Surgery based in Fair Lawn, NJ. Ryan Cassilly practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Ryan Cassilly is 1235455924 and holds a License No. 272553 (NY). The current practice location address for Ryan Cassilly is 28-04 Broadway, Fair Lawn, NJ 07410-3913 and can be reached out via phone at 201-791-4434.

Provider Profile Details

NPI Number
1235455924
Provider Name
Ryan Cassilly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
28-04 Broadway, Fair Lawn, NJ 07410-3913
Phone Number
201-791-4434
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2010
Last Update Date
July 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-04 Broadway
Fair Lawn, NJ 07410-3913
Zip
07410-3913
Phone Number
201-791-4434
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
28-04 Broadway
Fair Lawn, NJ 07410-3913
City
Fair Lawn
State
NJ
Zip
07410-3913
Phone Number
201-791-4434

License Information

License Number (1)
272553
License State (1)
NY
Taxonomy (1)
Orthopaedic Surgery · 207X00000X
License Number (2)
25MA09902700
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · 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 Dr. Ryan Cassilly, MD?

The NPI number of Dr. Ryan Cassilly, MD is 1235455924. It was assigned on April 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Ryan Cassilly, MD?

Dr. Ryan Cassilly, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NY under license number 272553.

Where does Dr. Ryan Cassilly, MD practice?

The practice location is 28-04 Broadway, Fair Lawn, NJ 07410-3913. The office can be reached at 201-791-4434 (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 1235455924 directly on the NPPES registry website.

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