Alyssa Detogni, PA
Physician Assistant, Surgical in Maywood, New Jersey
1114509973- Practice location
- 113 W Essex St Ste 201, Maywood, NJ 07607-1023
- Phone
- 201-251-7725
- Fax
- —
- Last updated
- September 15, 2026
Alyssa Detogni is a Physician Assistant, Surgical based in Maywood, NJ. Alyssa Detogni practices in Maywood, NJ and has the professional credentials of PA. The NPI Number for Alyssa Detogni is 1114509973. The current practice location address for Alyssa Detogni is 113 W Essex St Ste 201, Maywood, NJ 07607-1023 and can be reached out via phone at 201-251-7725.
Provider Profile Details
- NPI Number
- 1114509973
- Provider Name
- Alyssa Detogni
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 W Essex St Ste 201, Maywood, NJ 07607-1023
- Phone Number
- 201-251-7725
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2021
- Last Update Date
- September 15, 2026
- Certification Date
- September 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 W Essex St Ste 201
Maywood, NJ 07607-1023 - City
- Maywood
- State
- New Jersey
- Zip
- 07607-1023
- Phone Number
- 201-251-7725
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5792
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Maywood, NJ
View all Physician Assistant, Surgical providers in Maywood →Frequently Asked Questions
What is the NPI number of Alyssa Detogni, PA?
The NPI number of Alyssa Detogni, PA is 1114509973. It was assigned on April 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Alyssa Detogni, PA?
Alyssa Detogni, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).
Where does Alyssa Detogni, PA practice?
The practice location is 113 W Essex St Ste 201, Maywood, NJ 07607-1023. The office can be reached at 201-251-7725 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114509973 directly on the NPPES registry website.