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

Ryan Elie, PA-C

Individual provider Physician Assistant · NPI 1457088320

Ryan Elie, PA-C is a Physician Assistant in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
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

22-18 Broadway
Fair Lawn, NJ 07410-3016
Phone: (862) 591-5341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NJ)

Record details

NPI number1457088320
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address1823 Manor Dr Apt D, Union, NJ 07083-4654

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