RYAN FUELLBIER


Address: 625 Belle Terre Rd, 202, Port Jefferson, NY 11777-2316
Phone: 6316867990

RYAN FUELLBIER (NPI# 1477093383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477093383
Entity Type Individual
Full Name RYAN FUELLBIER
Credential PA-C
Practice Address 625 Belle Terre Rd
202
Port Jefferson
NY 11777-2316
Practice Telephone 6316867990
Enumeration Date 2017-02-27
Last Update Date 2017-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 020675 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 625 BELLE TERRE RD
202
City PORT JEFFERSON
State NY
Zip Code 11777-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033102280 Dinesh Shukla Psychiatry & Neurology 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777-2316 2005-08-23
1952940942 Katherine Rosangela Quezada Nurse Practitioner 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 2019-12-23
1265844716 John T Mather Memorial Hospital Physician Assistant 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-2316 2014-06-02
1811275548 Ella Rosenbloom Internal Medicine 625 Belle Terre Rd, Port Jefferson, NY 11777-2316 2011-07-29
1780983395 Advanced Laparoscopic Bariatric and General Surgery Surgery 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 2011-03-22
1982848156 Ashish Agarwala Surgery 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 2009-05-01
1447414370 North Suffolk Surgical Assoc Specialist 625 Belle Terre Rd, Suite 201, Port Jefferson, NY 11777-2316 2008-07-10
1013182112 Michelle Marilyn Craddock Family Medicine 625 Belle Terre Rd, Suite 119 Port Jefferson Medical Assoc, Port Jefferson, NY 11777 2008-04-29
1306929716 S Chandra Shekher Psychiatry & Neurology 625 Belle Terre Rd, Suite 211, Port Jefferson, NY 11777 2006-10-23
1659313690 Arif Ahmad Surgery 625 Belle Terre Rd, Suite 202, Port Jefferson, NY 11777-2316 2006-06-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
Find all providers in zip 11777

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255806501 Christopher Sorce Physician Assistant 635 Belle Terre Rd Ste 204, Port Jefferson, NY 11777-1977 2018-10-12
1699928846 Palakkumar B Patel Physician Assistant 60 N Country Rd Ste 203, Port Jefferson, NY 11777-2188 2008-11-01
1013106715 Christie Lee Cotty Physician Assistant 200 Belle Terre Rd #110, Port Jefferson, NY 11777 2007-10-18
1760529994 John Joseph Woehrle Physician Assistant 645 Belle Terre Rd Apt 93, Port Jefferson, NY 11777-1944 2007-01-30
1124633169 Ewelina Mieczkowska Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-09-15
1356983449 Joseph Francis Byrne Physician Assistant 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 2019-10-10
1073080768 Francis Richard Sicari Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2018-10-31
1477029585 Diana Matari Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2018-10-16
1043792492 Matthew Delph Physician Assistant 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 2018-09-02
1588167456 Giancarlo Garcia Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2018-03-16
Find all providers in PORT JEFFERSON

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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