Active NPIIndividual provider

Dr. Ryan Channick, MD

Physical Medicine & Rehabilitation, Sports Medicine in Egg Harbor Township, New Jersey

NPI Number1578822730
Practice location
2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
Fax
267-479-1321
Last updated
November 26, 2021

Ryan Channick is a Physical Medicine & Rehabilitation, Sports Medicine based in Egg Harbor Township, NJ. Ryan Channick practices in Egg Harbor Township, NJ and has the professional credentials of MD. The NPI Number for Ryan Channick is 1578822730 and holds a License No. 25MA10209400 (NJ). The current practice location address for Ryan Channick is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 and can be reached out via phone at 800-321-9999 and via fax at 267-479-1321.

Provider Profile Details

NPI Number
1578822730
Provider Name
Ryan Channick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
Phone Number
800-321-9999
Fax Number
267-479-1321
Sole Proprietor
No
Provider Enumeration Date
May 9, 2012
Last Update Date
November 26, 2021
Certification Date
November 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598
Zip
08234-5598
Phone Number
800-321-9999
Fax Number
267-479-1321
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
City
Philadelphia
State
PA
Zip
19107-4430
Phone Number
267-606-4478
Fax Number
267-339-3761

License Information

License Number (1)
25MA10209400
License State (1)
NJ
Taxonomy (1)
Family Medicine, Sports Medicine · 207QS0010X
License Number (2)
MT201720
License State (2)
PA
License State (3)
PA
License Number (4)
25MA10209400
License State (4)
NJ
Taxonomy (4)
Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · 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 Channick, MD?

The NPI number of Dr. Ryan Channick, MD is 1578822730. It was assigned on May 9, 2012 and is currently active in the NPPES registry.

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

Dr. Ryan Channick, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in NJ under license number 25MA10209400.

Where does Dr. Ryan Channick, MD practice?

The practice location is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598. The office can be reached at 800-321-9999 (phone) or 267-479-1321 (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 1578822730 directly on the NPPES registry website.

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