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

Individual provider Physician Assistant · NPI 1477072296

Michael Ryan Teehan, PA is a Physician Assistant in Mineola, New York. Qualified in 2017, 9 years ago. Practices with The Medical Group of New Jersey, a 298-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
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

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00466700 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1477072296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 13, 2017
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address15 Highfield Rd, Glen Cove, NY 11542-3517

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Medical Group Of New Jersey — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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