Ryan Murray
Internal Medicine in Passaic, NJ. Individual provider (NPI-1).
NPI number1003567397
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1003567397
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Murray
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MP00681400 | NJ | Yes |
Practice location
80 Passaic AvePassaic, NJ 07055-4860
Phone 973-928-2167
Mailing address
11 Varga DrCarteret, NJ 07008-1756
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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