Individual ProviderRyan PashleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Bowman Dr Ste E385, Voorhees, NJ 08043-9638(856) 840-2853PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Pashley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1548743503Provider TypeIndividualFull NamePashley, RyanCredentialFNPGenderMaleSole ProprietorNoEnumeration Date9/14/2018Last Updated10/17/2024Contact InformationPractice LocationPractice Address200 Bowman Dr Ste E385, Voorhees, NJ 08043-9638Phone(856) 840-2853Fax(856) 762-2853Mailing LocationMailing Address200 Bowman Dr Ste E385, Voorhees, NJ 08043-9638Phone(856) 840-2853Fax(856) 762-2853Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00828700New JerseyProvider IdentifiersIDDescriptionIssuerID0672114DescriptionMedicaidIssuerUnlistedNew Jersey