Active NPIIndividual providerSole proprietor

Angela M Ryerson, PA

Dermatology in Nutley, New Jersey

NPI Number1508636432
Practice location
88 Park Ave Ste 2A, Nutley, NJ 07110-3500
Fax
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Last updated
January 2, 2024

Angela M Ryerson is a Dermatology based in Nutley, NJ. Angela M Ryerson practices in Nutley, NJ and has the professional credentials of PA. The NPI Number for Angela M Ryerson is 1508636432 and holds a License No. 24MP00813800 (NJ). The current practice location address for Angela M Ryerson is 88 Park Ave Ste 2A, Nutley, NJ 07110-3500 and can be reached out via phone at 973-571-2121.

Provider Profile Details

NPI Number
1508636432
Provider Name
Angela M Ryerson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
88 Park Ave Ste 2A, Nutley, NJ 07110-3500
Phone Number
973-571-2121
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2024
Last Update Date
January 2, 2024
Certification Date
January 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 Park Ave Ste 2A
Nutley, NJ 07110-3500
City
Nutley
Zip
07110-3500
Phone Number
973-571-2121
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
25 Cypress Dr
Denville, NJ 07834-1709
City
Denville
State
NJ
Zip
07834-1709
Phone Number
973-590-4935

License Information

License Number
24MP00813800
License State
NJ
Taxonomy
Dermatology · 207N00000X · 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 Angela M Ryerson, PA?

The NPI number of Angela M Ryerson, PA is 1508636432. It was assigned on January 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Angela M Ryerson, PA?

Angela M Ryerson, PA is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 24MP00813800.

Where does Angela M Ryerson, PA practice?

The practice location is 88 Park Ave Ste 2A, Nutley, NJ 07110-3500. The office can be reached at 973-571-2121 (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 1508636432 directly on the NPPES registry website.

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