Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Patrick Timothy Ryan, DC

Individual provider Chiropractor · NPI 1174677512

Dr. Patrick Timothy Ryan, DC is a Chiropractic in Randolph, New Jersey. Graduated from Life Chiropractic College in 1996, 30 years ago. Licensed in New Jersey.

Years since qualifying
30
Trained at
Life Chiropractic College
Licensed in
NJ
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

961 Route 10 East Box 6
Randolph, NJ 07869
Phone: (973) 252-6040
Fax: (973) 252-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence MC 05268 (NJ)

Record details

NPI number1174677512
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address961 Route 10 East, Randolph, NJ 07869

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

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