Active NPIIndividual provider

Ryan Imelio

Physician Assistant in Oxford, Massachusetts

NPI Number1508634775
Practice location
78 Sutton Ave, Oxford, MA 01540-1813
Fax
508-449-1757
Last updated
November 3, 2025

Ryan Imelio is a Physician Assistant based in Oxford, MA. Ryan Imelio practices in Oxford, MA. The NPI Number for Ryan Imelio is 1508634775. The current practice location address for Ryan Imelio is 78 Sutton Ave, Oxford, MA 01540-1813 and can be reached out via phone at 508-499-1760 and via fax at 508-449-1757.

Provider Profile Details

NPI Number
1508634775
Provider Name
Ryan Imelio
Provider Entity Type
Individual
Gender
Male
Address
78 Sutton Ave, Oxford, MA 01540-1813
Phone Number
508-499-1760
Fax Number
508-449-1757
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2023
Last Update Date
November 3, 2025
Certification Date
November 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 Sutton Ave
Oxford, MA 01540-1813
City
Oxford
Zip
01540-1813
Phone Number
508-499-1760
Fax Number
508-449-1757
Oxford, MA 01540Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

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 Imelio?

The NPI number of Ryan Imelio is 1508634775. It was assigned on December 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Ryan Imelio?

Ryan Imelio is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Ryan Imelio practice?

The practice location is 78 Sutton Ave, Oxford, MA 01540-1813. The office can be reached at 508-499-1760 (phone) or 508-449-1757 (fax).

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 1508634775 directly on the NPPES registry website.

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