Active NPIIndividual provider

Ryan Elie, PA-C

Physician Assistant in Fair Lawn, New Jersey

NPI Number1457088320
Practice location
22-18 Broadway, Fair Lawn, NJ 07410-3016
Fax
—
Last updated
September 12, 2022

Ryan Elie is a Physician Assistant based in Fair Lawn, NJ. Ryan Elie practices in Fair Lawn, NJ and has the professional credentials of PA-C. The NPI Number for Ryan Elie is 1457088320. The current practice location address for Ryan Elie is 22-18 Broadway, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 862-591-5341.

Provider Profile Details

NPI Number
1457088320
Provider Name
Ryan Elie
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
22-18 Broadway, Fair Lawn, NJ 07410-3016
Phone Number
862-591-5341
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2022
Last Update Date
September 12, 2022
Certification Date
September 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-18 Broadway
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
862-591-5341
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1823 Manor Dr Apt D
Union, NJ 07083-4654
City
Union
State
NJ
Zip
07083-4654
Phone Number
862-591-5341

License Information

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 Elie, PA-C?

The NPI number of Ryan Elie, PA-C is 1457088320. It was assigned on August 2, 2022 and is currently active in the NPPES registry.

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

Ryan Elie, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Ryan Elie, PA-C practice?

The practice location is 22-18 Broadway, Fair Lawn, NJ 07410-3016. The office can be reached at 862-591-5341 (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 1457088320 directly on the NPPES registry website.

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