- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-5731
- Fax
- —
- Last updated
- June 4, 2025
Elyse Rose Ryan is a Physician Assistant based in Bronx, NY. Elyse Rose Ryan practices in Bronx, NY and has the professional credentials of PA. The NPI Number for Elyse Rose Ryan is 1366103558 and holds a License No. 7065 (CT). The current practice location address for Elyse Rose Ryan is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-5731.
Provider Profile Details
- NPI Number
- 1366103558
- Provider Name
- Elyse Rose Ryan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-5731
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2022
- Last Update Date
- June 4, 2025
- Certification Date
- June 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-5731
Provider Business Mailing Address Details
- Address
- 34 Maple St
Norwalk, CT 06850-3894 - City
- Norwalk
- State
- CT
- Zip
- 06850-3894
- Phone Number
- 203-852-2000
License Information
- License Number (1)
- 7065
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Elyse R Ryan, PA?
The NPI number of Elyse R Ryan, PA is 1366103558. It was assigned on January 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Elyse R Ryan, PA?
Elyse R Ryan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7065.
Where does Elyse R Ryan, PA practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-5731 (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 1366103558 directly on the NPPES registry website.