NPI 1457239055 · live from the CMS NPI Registry
Ryan Robert Anderson
Physician Assistant in New Milford, CT. National Provider Identifier 1457239055, active.
NPI record
| NPI | 1457239055 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 131 Kent Rd, New Milford, CT 06776 |
| Practice phone | 860-355-8000 |
| Mailing address | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023 |
| Enumerated | August 22, 2025 |
| Last updated | March 25, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 7314 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.