Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH RYAN MATARAGAS, PA-C
ActiveKENNETH RYAN MATARAGAS, PA-C is a Physician Assistant healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1003326133 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1003326133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2017 (8.8579139291496 yrs)
- Last Updated
- Jan 17, 2024
Practice Information
- Address
-
1500 NY-112 BUILDING 6SUITE CPORT JEFFERSON STATION, NY, 11776Browse NY providers · Browse ZIP 11776
- Phone
- 6317329090
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARIA ALBA MCMANUS | R.P.A.C. | 1821051921 |
| NOAMI MOREY | PA | 1053364133 |
| DONNA COLLORA | PA | 1972654960 |
| STACEY DIGIACOMO | P.A. | 1023233103 |
| MR. GERARD STEVEN GUZMAN | RPA-C | 1790903862 |
| LINDSAY M COMO | RPAC | 1558562041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.