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

Individual provider Physician Assistant · NPI 1619506714

Ryan John Kottmeier, PA is a Physician Assistant in Stony Brook, New York. Qualified in 2020, 6 years ago. Practices with Stony Brook Orthopaedic Associates, University Faculty Practice Corpor, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

101 Nicolls Road Suny Stony Brook Hospital Dept OF Orthopedics Hsc T18 Rm 080
Stony Brook, NY 11794
Phone: (631) 444-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024921 (NY)

Record details

NPI number1619506714
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stony Brook Orthopaedic Associates, University Faculty Practice Corpor — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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