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

Ryan Reno Dirienzo, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205464344

Ryan Reno Dirienzo, PA-C is a Physician Assistant in Ithaca, New York. Qualified in 2020, 6 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
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

16 Brentwood Dr
Ithaca, NY 14850-1863
Phone: (607) 272-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Powder Mill Ln, North Granby, CT 06060-1216 — (860) 413-9048

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025842-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205464344
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 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 Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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