RYAN H LILLEY (NPI# 1962932467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962932467 |
| Entity Type | Individual |
| Full Name | RYAN H LILLEY |
| Credential | PA-C |
| Practice Address |
6 Technology Dr East Setauket NY 11733-4079 |
| Mailing Address |
40 Sycamore Cir Stony Brook NY 11790-3141 |
| Practice Telephone | 6316896698 |
| Mailing Telephone | 6319018986 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
020-873 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE EDUCATION DEPARTMENT | 020-873 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124468947 | Ryan Lilley | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-06-25 |
| Street Address |
6 TECHNOLOGY DR |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657062 | Elaine B Hughes | Nurse Practitioner | 6 Technology Dr, Suite100, East Setauket, NY 11733-4047 | 2006-04-10 |
| 1457816407 | Jamie Rose Carroll | Midwife | 6 Technology Dr, East Setauket, NY 11733-4079 | 2019-02-04 |
| 1437503745 | Ying Xin Liu | Obstetrics & Gynecology | 6 Technology Dr, East Setauket, NY 11733-4079 | 2016-04-22 |
| 1013380419 | Christina M Arcieri | Advanced Practice Midwife | 6 Technology Dr, East Setauket, NY 11733-4079 | 2015-11-06 |
| 1609201565 | Lauren Michelle Antonelli | Physician Assistant | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 | 2013-09-11 |
| 1295177483 | Jody Weiss-burns | Genetic Counselor, MS | 6 Technology Dr, East Setauket, NY 11733-4079 | 2013-07-29 |
| 1225478233 | Theresa M. Dugger | Genetic Counselor, MS | 6 Technology Dr, East Setauket, NY 11733-4079 | 2013-07-05 |
| 1730421611 | Gwen L Goldstein | Genetic Counselor, MS | 6 Technology Dr, Div. of Genetic Counseling, East Setauket, NY 11733-4079 | 2013-03-19 |
| 1457601692 | Linda Susan Buttice | Genetic Counselor, MS | 6 Technology Dr, East Setauket, NY 11733-9255 | 2012-09-14 |
| 1679894174 | Justin Robert Biel | Physician Assistant | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023208543 | Michael Joseph Sileo | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2007-07-31 |
| 1710928957 | James Penna | Orthopaedic Surgery | 14 Technology Dr, East Setauket, NY 11733-3472 | 2006-06-09 |
| 1235170887 | Stephen Kottmeier | Orthopaedic Surgery | 14 Technology Dr, East Setauket, NY 11733-3472 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| 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.