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

Ryan Dong, PA

Individual provider Medical Physician Assistant · NPI 1023765906

Ryan Dong, PA is a Physician Assistant in New York, New York. Qualified in 2022, 4 years ago. Works from 2 locations.

Years since qualifying
4
In the registry since
2022
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

139 Centre St Ph 104
New York, NY 10013
Phone: (212) 343-2536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 570 Lexington Ave Fl 9, New York, NY 10022-6710 — (646) 926-7277

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1023765906
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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