DR. RYAN CASSILLY (M.D.) – Orthopaedic Surgery Physician, NPI 1235455924

DR. RYAN CASSILLY (M.D.) is a healthcare provider. based in Fair lawn, New Jersey. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 272553 (NY). The NPI Number for DR. RYAN CASSILLY (M.D.) is 1235455924

Main info

Male
Sole Proprietor
16 Years Of Experience
Name
DR. RYAN CASSILLY (M.D.)
NPI
1235455924
Phone
(201) 791-4434
Address
28-04 BROADWAY
Enumeration Date
20 April 2010
Last Update Date
20 July 2016

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2017914434
Graduation Year
2010 (16 years ago)
PAC ID
6204124894
Group Practice PAC ID
0941257158
Professional Enrollment ID
I20161014000371
Address ID
NJ074103920FA28XXXBROA300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

918 ORTHOPEDIC SURGERY in NJ

Provider Addresses for DR. RYAN CASSILLY (M.D.)

  • 28-04 BROADWAY

    FAIR LAWN, NJ 074103913

    Phone: (201) 791-4434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $668.

Total Amount is formed as General ($668) + Research ($0) + Ownership ($0) = $668.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Alphatec Spine, Inc ($204).

Total Amount

$668

General + Research + Ownership

Payments

11

Total payment records

General Amount

$668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161014000371IOrthopedic SurgeryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941257158View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNJ
Physician AssistantNJ
Orthopedic SurgeryNY
Orthopedic SurgeryFL
A N E S T H E S I O L O G YNJ
Hand SurgeryNJ
Physician AssistantNJ
-NJ
Orthopedic SurgeryNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

What is the registry number for DR. RYAN CASSILLY (M.D.)?
The registry entry for DR. RYAN CASSILLY (M.D.) shows NPI 1235455924.
Does the public listing show DR. RYAN CASSILLY (M.D.) as active?
DR. RYAN CASSILLY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. RYAN CASSILLY (M.D.)?
NPPES ties DR. RYAN CASSILLY (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. RYAN CASSILLY (M.D.) tied to Fair Lawn, New Jersey?
If you are local to Fair Lawn, New Jersey, DR. RYAN CASSILLY (M.D.) may be relevant to your search.
Why is information missing for DR. RYAN CASSILLY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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