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NPI 1043703200

Ryan Coelho, PA-C

Physician Assistant · Montville, NJ

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:33 am EDT

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Ryan Coelho, PA-C is a health care provider (Physician Assistant) in Montville, New Jersey with National Provider Identifier (NPI) 1043703200. The NPI was issued on Jun 12, 2018 and the registry record was last updated on Jan 15, 2024. The registry lists a license in New Jersey.

Registry record

NPI
1043703200
Type
Individual (NPI-1)
Primary specialty
Physician Assistant 363A00000X
Practice location
170 Changebridge Rd Bldg C3
Montville, NJ 07045-9112
Phone
(973) 575-5540
NPI issued
Jun 12, 2018
Registry record updated
Jan 15, 2024

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Physician Assistant Primary363A00000XNew Jersey25MP00475600

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Physician Assistant providers in New Jersey

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.