Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan J Fong, RPA-C

Individual provider Physician Assistant · NPI 1154621860

Mr. Ryan J Fong, RPA-C is a Physician Assistant in Quincy, Massachusetts. Qualified in 2010, 16 years ago. Practices with Mercy Hospital, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
16
Licensed in
MA, NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

54 Miller St Ste 201
Quincy, MA 02169-4725
Phone: (617) 481-3100
Fax: (617) 481-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11835 Rt 9w, West Coxsackie, NY 12192-3605 — (518) 731-9000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4883 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 014255 (NY)

Record details

NPI number1154621860
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 26, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mercy Hospital — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Quincy