IndividualActive
Ryan Tourtellot, DO
NPI 1134482375 · Hospice and Palliative Medicine (Family Medicine) Physician · Brick, NJ
Provider details
- NPI number
- 1134482375
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB11110700 (NJ)
Specialties & taxonomies
- Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002XLicense 25MB11110700 (NJ)
Allopathic & Osteopathic Physicians
Practice location
425 Jack Martin Blvd
Cancer Center - Ste D
Brick, NJ 08724-7732
Phone: (732) 268-8470
Approximate (ZIP-level) locationGet directions
Mailing address
331 Newman Springs Rd
Red Bank, NJ 07701-5688
Additional practice locations (1)
- One Medical Center Drive, Suite 163Umdnj-Som, Joann Kaiser-Smith, Program DirectorStratford, NJ 08084Phone: (856) 677-6708Fax: (856) 566-6222
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.