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

Ryan Patrick Urban

Individual provider Physician Assistant · NPI 1104593615

Ryan Patrick Urban is a Physician Assistant in Bordentown, New Jersey. Qualified in 2021, 5 years ago. Practices with Rothman Orthopaedics of New Jersey, LLC, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021

Practice location Address checks out

100 K Johnson Blvd N Ste 202
Bordentown, NJ 08505-2275
Phone: (800) 321-9999
Fax: (267) 479-1321
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00709200 (NJ)

Record details

NPI number1104593615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address833 Chestnut St Ste 520, Philadelphia, PA 19107-4430

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 Rothman Orthopaedics Of New Jersey, Llc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bordentown