JACLYN M. RYAN (NPI# 1326098799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326098799 |
| Entity Type | Individual |
| Full Name | JACLYN M. RYAN |
| Credential | PA |
| Practice Address |
1000 Atlantic Ave Camden NJ 08104-1132 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 8562463000 |
| Mailing Telephone | 8566864300 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00161300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA051126 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 E Township Line Road, Elkins Park, PA 19027 | 2156636323 | 2156636703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357956 | Jaclyn A Ryan | Physician Assistant | 9 Washington Ave Fl 1a, Hamden, CT 06518-3267 | 2005-06-21 |
| 1841786407 | Jaclyn Nicole Ryan | Nurse Practitioner | 300 Niagara St, Buffalo, NY 14201 | 2018-07-07 |
| 1073030995 | Jaclyn Marie Ryan | Physical Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2017-08-23 |
| Street Address |
1000 ATLANTIC AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08104-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290343 | Robin A Figliola | Family Medicine | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2005-07-26 |
| 1255945101 | Samantha Noguera | Social Worker | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2020-09-08 |
| 1407475445 | Michael Christopher Romanko | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104 | 2020-04-09 |
| 1992366215 | Jennifer Lynn Palladino | Nurse Practitioner | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2019-06-26 |
| 1275007825 | Melinda Pilar Jimenez | Nurse Practitioner | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2019-01-16 |
| 1134610405 | Tiffany Mari Rios | Dietitian, Registered | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2018-05-22 |
| 1831680222 | Jacqueline Marie Ubhaus | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2018-05-22 |
| 1073002887 | Victor Kim | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2018-05-07 |
| 1508377995 | Tus Ojos, Inc | Ophthalmology | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2017-10-12 |
| 1437689569 | Nicole Alyssa Farber | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104-1132 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| 1891275467 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Avenue, 5th Floor, Camden, NJ 08104 | 2018-08-14 |
| 1881183994 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-03 |
| 1508108895 | Michelle D Goodman | Counselor | 3007 Kearsarge Rd, Camden, NJ 08104 | 2013-03-25 |
| 1952570426 | Camcare Health Corporation | Clinic/Center | 8th and Carl Miller Blvd., Camden, NJ 08104 | 2008-02-28 |
| 1376760942 | Restorative Programming, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1770 Mt. Ephraim Ave, Camden, NJ 08104 | 2007-04-18 |
| 1811000383 | Doganieros of Camden, Inc. | Pharmacist | 1552 Mount Ephraim Ave, Camden, NJ 08104 | 2006-08-17 |
| 1134618937 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-07 |
| 1275676447 | Kathleen H Macfarlane | Psychologist | 1600 Haddon Avenue, Our Lady of Lourdes Hospital Regional Rehabilitation, Camden, NJ 08104 | 2007-02-15 |
| 1083751630 | Camden Treatment Associates, LLC | Clinic/Center | 508 Atlantic Ave, Camden, NJ 08104-1108 | 2007-01-31 |
| Find all providers in zip 08104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245634989 | Rebecca Ann Kenderes | Physician Assistant | 5 Masonic Avenue, Camden, NY 13316 | 2014-10-09 |
| 1033402599 | Colonial Family Practice, LLC | Physician Assistant | 1124 Little St, Camden, SC 29020-3613 | 2011-05-17 |
| 1023124161 | Michael Joe Ridley | Physician Assistant | 306 Highway 641 N, Camden, TN 38320-3012 | 2006-08-22 |
| 1073580452 | Jessica C Bethell Barsocchi | Physician Assistant | 3 Cooper Plz Rm 311, Camden, NJ 08103 | 2006-03-03 |
| 1699382440 | David Allen Davidson | Physician Assistant | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2020-09-25 |
| 1346876331 | Amelia Anna Porretta | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-21 |
| 1285260828 | Paola Genevieve Suriel | Physician Assistant | 3 Cooper Plz Rm 215, Camden, NJ 08103-1438 | 2020-03-16 |
| 1417583253 | Alyssa Palio | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-12 |
| 1003442831 | Patrick Keenan | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-03-12 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| Find all providers in CAMDEN | ||||
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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.