Healthcare Provider Details

I. General information

NPI: 1316801400
Provider Name (Legal Business Name): DR. KATHERINE RYLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 HERMAN ST
GLEN RIDGE NJ
07028-1416
US

IV. Provider business mailing address

42 HERMAN ST
GLEN RIDGE NJ
07028-1416
US

V. Phone/Fax

Practice location:
  • Phone: 571-344-3708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZG1000X
TaxonomyMedical Geneticist (PhD) Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: