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NPI Code Detail

MEDICARE: RYAN LOPICCOLO PA-C

MEDICARE: RYAN LOPICCOLO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant25MP01006300NJ

General Provider Information

NPI Number : 1336093434
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN LOPICCOLO PA-C
Provider Business Mailing Address
First Line : 910 SYLVAN AVE STE 100
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3308
Country : US
Telephone Number : 201-569-2770
Fax Number :
Provider Business Practice Location Address
First Line : 910 SYLVAN AVE STE 100
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3308
Country : US
Telephone Number : 201-569-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 04/09/2026

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Directions to “ RYAN LOPICCOLO PA-C” Practice Location

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