MS. KELLY RYAN
NPI 1194806539
Physician Assistant - Surgical in Edison, NJ
About Ms. Kelly Ryan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY RYAN (NPI 1194806539) is an individual surgical provider in Edison, New Jersey, licensed in New Jersey (25MP00333400) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelly Ryan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDISON, NJ 08820
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 Kelly Ryan's NPI number?
The NPI number for Kelly Ryan is 1194806539. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Kelly Ryan located?
Kelly Ryan practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7000.
What is Kelly Ryan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelly Ryan enrolled in Medicare?
Yes. Kelly Ryan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Ryan was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelly Ryan · NPI 1194806539
Surgical physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1194806539 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00333400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 JAMES ST, Edison, NJ 08820-3947
- **Phone:** (732) 321-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194806539) · Data from the CMS NPPES public registry.