ALYSSA MARTIN (NPI# 1043707276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043707276 |
| Entity Type | Individual |
| Full Name | ALYSSA MARTIN |
| Credential | PA-C |
| Practice Address |
750 Brunswick Ave Trenton NJ 08638-4143 |
| Mailing Address |
1336 Bristol Pike # 103 Bensalem PA 19020-5660 |
| Practice Telephone | 6098157532 |
| Mailing Telephone | 2156383444 |
| Mailing Fax Number | 2156383449 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OA004442 | PA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00504000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962829 | Alyssa Martin | Case Manager/Care Coordinator | 1301 Coates Bluff Dr Apt 1212, Shreveport, LA 71104-2864 | 2019-09-24 |
| 1376899344 | Alyssa Martin | Home Health Aide | 4746 Benning Rd Se Apt 104, Washington, DC 20019-5188 | 2012-07-27 |
| 1457689648 | Alyssa Marie Martin | Midwife | 12 Dancing Rabbit Ln, Rutledge, MO 63563-9757 | 2009-11-26 |
| 1558976084 | Alyssa L Martin | Nurse Practitioner | 218 Rue Beauregard, Lafayette, LA 70508-3284 | 2020-09-11 |
| 1447875844 | Alyssa Natalie Martin | Counselor | 20331 Flanagan Road, Trabuco Canyon, CA 92679 | 2020-06-11 |
| 1114541117 | Alyssa Martin | Nurse Practitioner | 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 | 2020-06-04 |
| 1396386959 | Alyssa Martin | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-10-04 |
| 1124539416 | Alyssa Martin | Counselor | 401 E 10th Ave Ste 330, Eugene, OR 97401-3357 | 2017-10-13 |
| 1720501950 | Alyssa Anne Martin | Pharmacist | 2350 Holcomb Bridge Rd, Roswell, GA 30076-3408 | 2017-07-19 |
| 1578943908 | Alyssa Martin | Counselor | 350 Elk St, Rapid City, SD 57701-7351 | 2015-06-01 |
| Street Address |
750 BRUNSWICK AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08638-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465656 | Kelly M. Laverdure | Family Medicine | 750 Brunswick Ave, Trenton, NJ 19178-8567 | 2005-05-23 |
| 1477153450 | Thomas Wieczenski | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-28 |
| 1487252979 | Ashley Yeh | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-15 |
| 1821604380 | Steven Chen | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-09-21 |
| 1669081063 | Reena R Concepcion | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-07-31 |
| 1851915649 | Matthew M Rydlewski Jr. | Emergency Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-06-08 |
| 1518588243 | Sally Johnson | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-05-05 |
| 1356961882 | Maksym Palii | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-24 |
| 1669092250 | Amy Theresa Pulikeyil | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-23 |
| 1720607260 | Mayilathal Vasudevan | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578122636 | Yuriy Y Dankulich | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2019-06-11 |
| 1508390071 | Zaneta Terepka | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2017-04-11 |
| 1427509710 | Alicia Campiglia | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2016-10-21 |
| 1477947588 | Tammy Vo-mota | Physician Assistant | 2275 W Jefferson Ave, Trenton, MI 48183-2114 | 2015-03-26 |
| 1417257502 | Jesse Elizabeth Pannell | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-10-24 |
| 1730498049 | Alicia Ann Schumacher | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-10-04 |
| 1477865160 | Genna Kara Kipnis | Physician Assistant | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2010-07-09 |
| 1245483650 | Joseph White | Physician Assistant | 1700 Whitehorse Hamilton Square Rd, Trenton, NJ 08690-3536 | 2008-10-29 |
| 1487740700 | Albert G Marian | Physician Assistant | 394 Bar Harbor Rd, Trenton, ME 04605-5807 | 2006-10-05 |
| 1386678001 | Curtis Kirby | Physician Assistant | 911 S Main St, Trenton, FL 32693-3239 | 2006-07-10 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.