Jamaal Emmanuel Ryan, LSW is a medicare enrolled "Social Worker" provider in Hillsborough, New Jersey. His current practice location is
913 Renate Dr Unit 3, Hillsborough, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 705-3653.
Jamaal Emmanuel Ryan is licensed to practice in New Jersey (license number 44SL05958600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497005136.
Healthcare Provider's Profile
Full Name | Jamaal Emmanuel Ryan |
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Gender | Male |
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Speciality | Social Worker |
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Location | 913 Renate Dr Unit 3, Hillsborough, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497005136
- Provider Enumeration Date: 09/10/2012
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961879176
- Enrollment ID: I20221101001073
Medical Identifiers
Medical identifiers for Jamaal Emmanuel Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497005136 | NPI | - | NPPES |
0023701 | Other | NJ | AGENCY MEDICAID PROVIDER # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 44SL05958600 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jamaal Emmanuel Ryan allows following entities to bill medicare on his behalf.
Entity Name | Rutgers Health Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamaal Emmanuel Ryan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamaal Emmanuel Ryan, LSW 913 Renate Dr Unit 3, Hillsborough, NJ 08844-4952 Ph: (908) 705-3653 | Jamaal Emmanuel Ryan, LSW 913 Renate Dr Unit 3, Hillsborough, NJ 08844-4952 Ph: (908) 705-3653 |
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