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

Individual provider Physician Assistant · NPI 1720775620

Ryan Sgroi, PA-C is a Physician Assistant in Rutherford, New Jersey. Qualified in 2023, 3 years ago. Practices with Optum Medical Care of New Jersey PC, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2023
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

201 State Rt 17 Fl 1202
Rutherford, NJ 07070-2901
Phone: (201) 975-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 E 70th St, New York, NY 10021-4898 — (212) 606-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00828400 (NJ)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1720775620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2023
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address108 Irving St Apt 1, Jersey City, NJ 07307-3329

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Optum Medical Care Of New Jersey Pc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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