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

Mr. Ryan Scott Innes, PA-C

Individual provider Physician Assistant · NPI 1750193124

Mr. Ryan Scott Innes, PA-C is a Physician Assistant in East Setauket, New York. Qualified in 2025, 1 year ago. Practices with Orthopedic Assoc of Long Island Physicians and Medical Group PLLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone: (631) 689-6698
Fax: (631) 751-5548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Whalen St, North Babylon, NY 11703-4421 — (631) 482-0504

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033630 (NY)

Record details

NPI number1750193124
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Orthopedic Assoc Of Long Island Physicians And Medical Group Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in East Setauket