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ELYSE ROSE RYAN PA
NPI 1366103558
Physician Assistant in Bronx, NY

Active since January 10, 2022PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-5731 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Feb 9, 2022, Jan 10, 2022 (3 updates tracked since 2022).

About Elyse Rose Ryan Pa NPPES

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

ELYSE ROSE RYAN PA (NPI 1366103558) is an individual physician assistant in Bronx, New York, licensed in Connecticut (7065) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwalk, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366103558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELYSE ROSE RYANCredential: PA
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address34 Maple StNorwalk, CT 06850-3894 · (203) 852-2000
Phone(718) 920-5731
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1366103558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 7065
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 E 210TH ST, Bronx, NY 10467
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Secondary Practice Location 1

Location 134 Maple StNorwalk, CT 06850-3894 · Phone (203) 852-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365828449
PECOS Enrollment IDI20220927001202
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Elyse Ryan's NPI number?

The NPI number for Elyse Ryan is 1366103558. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Elyse Ryan located?

Elyse Ryan practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5731.

What is Elyse Ryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elyse Ryan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elyse Ryan was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.