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DR. PATRICK TIMOTHY RYAN DC
NPI 1174677512
Chiropractor in Randolph, NJ

Active since January 23, 2007
961 ROUTE 10 EAST, BOX 6, RANDOLPH, NJ 07869(973) 252-6040(973) 252-6050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Patrick Timothy Ryan Dc NPPES

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

DR. PATRICK TIMOTHY RYAN DC (NPI 1174677512) is an individual chiropractor in Randolph, New Jersey, licensed in New Jersey (MC 05268) and active in the NPI registry since January 2007. He is a graduate of Life Chiropractic College (1996).

NPPES Registry Identity

NPI1174677512
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PATRICK TIMOTHY RYANCredential: DC
Location Address961 ROUTE 10 EAST, BOX 6Randolph, NJ 07869
Mailing Address961 Route 10 EastRandolph, NJ 07869 · (973) 252-6040 · Fax (973) 252-6050
Phone(973) 252-6040
Fax(973) 252-6050
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1996
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174677512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · MC 05268
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
961 ROUTE 10 EAST, Randolph, NJ 07869
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Timothy Ryan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385633270
PECOS Enrollment IDI20040506001526

Medicare Billing Reassignment

Medicare enrollment records show Patrick Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhino Chiropractic
Same address
Chiropractor
961 ROUTE 10 EAST
Randolph, NJ 07869
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1508078775 (973) 252-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
527 services26 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
48 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHINO CHIROPRACTIC
Chiropractor
961 ROUTE 10 EAST
RANDOLPH, NJ 07869
Morris County (973) 252-6040

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 Patrick Ryan's NPI number?

The NPI number for Patrick Ryan is 1174677512. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Patrick Ryan located?

Patrick Ryan practices at 961 Route 10 East Box 6, Randolph, NJ 07869. The listed phone number is (973) 252-6040.

What is Patrick Ryan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Patrick Ryan enrolled in Medicare?

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

Which organization bills Medicare for Patrick Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Ryan reassigns Medicare benefits to Rhino Chiropractic (Randolph, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patrick Ryan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.