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

Individual provider Physician Assistant · NPI 1366103558

Elyse Rose Ryan, PA is a Physician Assistant in Bronx, New York. Qualified in 2021, 5 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and works from 2 locations. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34 Maple St, Norwalk, CT 06850-3894 — (203) 852-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 7065 (CT)

Record details

NPI number1366103558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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