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

Individual provider Physician Assistant · NPI 1225777576

Ryan Fong, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
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

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 643-4021
  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 454-8500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9362 (MA)

Record details

NPI number1225777576
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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