Healthcare Provider Details

I. General information

NPI: 1427686005
Provider Name (Legal Business Name): RYAN ANDREW FINKEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 RARITAN RD
CLARK NJ
07066-1311
US

IV. Provider business mailing address

6190 CORNERSTONE CT E STE 212
SAN DIEGO CA
92121-4701
US

V. Phone/Fax

Practice location:
  • Phone: 201-639-6620
  • Fax: 848-245-8609
Mailing address:
  • Phone: 858-246-6305
  • Fax: 833-660-7845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA180391
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MA13050200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: