DYLAN MICHAEL RYAN
NPI 1790326130
Physician Assistant - Surgical in Camden, NJ
About Dylan Michael Ryan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN MICHAEL RYAN (NPI 1790326130) is an individual surgical provider in Camden, New Jersey, licensed in New Jersey (25MP00552700) and active in the NPI registry since October 2019. He 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)
Dylan Michael 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.
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 Dylan Ryan's NPI number?
The NPI number for Dylan Ryan is 1790326130. It was assigned to this individual provider in the NPPES registry on October 7, 2019.
Where is Dylan Ryan located?
Dylan Ryan practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 968-7965.
What is Dylan Ryan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Dylan Ryan enrolled in Medicare?
Yes. Dylan Ryan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dylan Ryan was last updated on December 22, 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.
# Dylan Michael Ryan · NPI 1790326130
Surgical physician in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since October 7, 2019.
## Identity
- **NPI:** 1790326130 (Entity type: Individual)
- **Enumerated:** October 7, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00552700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COOPER PLZ, Camden, NJ 08103-1461
- **Phone:** (856) 968-7965
## 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 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790326130) · Data from the CMS NPPES public registry.