RYAN SHERIDAN
NPI 1760192405
Physician Assistant in New York, NY

Active since December 05, 2022PECOS EnrolledAccepts Medicare Assignment
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Dec 5, 2022 (2 updates tracked since 2022).

About Ryan Sheridan NPPES

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

RYAN SHERIDAN (NPI 1760192405) is an individual physician assistant in New York, New York, licensed in New York (029755) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760192405
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN SHERIDAN
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address9 University PlGlen Head, NY 11545-1538
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 5, 2022
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1760192405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 029755
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.
100 E 77TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan Sheridan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830543594
PECOS Enrollment IDI20230928002106
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Sheridan's NPI number?

The NPI number for Ryan Sheridan is 1760192405. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Ryan Sheridan located?

Ryan Sheridan practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Ryan Sheridan's specialty?

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

Is Ryan Sheridan enrolled in Medicare?

Yes. Ryan Sheridan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ryan Sheridan affiliated with any hospitals?

According to CMS data, Ryan Sheridan is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Sheridan was last updated on May 4, 2023. 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.