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RYAN DONG PA
NPI 1023765906
Physician Assistant - Medical in New York, NY

Active since March 09, 2022PECOS Enrolled
139 CENTRE ST PH 104, NEW YORK, NY 10013(212) 343-2536 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Mar 9, 2022 (2 updates tracked since 2022).

About Ryan Dong Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN DONG PA (NPI 1023765906) is an individual medical provider in New York, New York and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023765906
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRYAN DONGCredential: PA
Location Address139 CENTRE ST PH 104New York, NY 10013
Mailing Address720 57th St Apt 4dBrooklyn, NY 11220-3777
Phone(212) 343-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 9, 2022
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1023765906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
139 CENTRE ST PH 104, New York, NY 10013
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Secondary Practice Location 1

Location 1570 Lexington Ave Fl 9New York, NY 10022-6710 · Phone (646) 926-7277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Dong Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628557113
PECOS Enrollment IDI20260204004383
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Dong's NPI number?

The NPI number for Ryan Dong is 1023765906. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Ryan Dong located?

Ryan Dong practices at 139 Centre St Ph 104, New York, NY 10013. The listed phone number is (212) 343-2536.

What is Ryan Dong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Dong enrolled in Medicare?

Yes. Ryan Dong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Dong was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.