Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ryan William Logan

Individual provider Physician Assistant · NPI 1962030189

Ryan William Logan is a Physician Assistant in Brooklyn, New York. Qualified in 2019, 7 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
7
Licensed in
FL, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

399 Knickerbocker Ave
Brooklyn, NY 11237-4101
Phone: (718) 571-9168
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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 025151 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9113132 (FL)

Record details

NPI number1962030189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients69
Services billed 135 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at City Medical of Upper East Side PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 663 clinicians in the practice; 12 are shown here.

Other providers in Brooklyn