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

Ryan Christopher Mogadam

Individual provider Medical Physician Assistant · NPI 1558964445

Ryan Christopher Mogadam is a Physician Assistant in Chicopee, Massachusetts. Qualified in 2021, 5 years ago. Practices with Lenzy Dermatology PC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020

Practice location Address checks out

1176 Memorial Dr
Chicopee, MA 01020-3958
Phone: (703) 618-3116
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1558964445
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 21, 2020
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address19 Lockhouse Rd Apt 2-4, Westfield, MA 01085-1202

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 Lenzy Dermatology Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chicopee