Active NPIIndividual provider

Allison Dertouzos, PA-C

Physician Assistant in Lawrenceville, New Jersey

NPI Number1669146965
Practice location
2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261
Fax
—
Last updated
August 7, 2025

Allison Dertouzos is a Physician Assistant based in Lawrenceville, NJ. Allison Dertouzos practices in Lawrenceville, NJ and has the professional credentials of PA-C. The NPI Number for Allison Dertouzos is 1669146965 and holds a License No. C5-0012277 (DE). The current practice location address for Allison Dertouzos is 2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261 and can be reached out via phone at 609-403-8840.

Provider Profile Details

NPI Number
1669146965
Provider Name
Allison Dertouzos
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261
Phone Number
609-403-8840
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 2, 2021
Last Update Date
August 7, 2025
Certification Date
August 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648-3261
Zip
08648-3261
Phone Number
609-403-8840
Lawrenceville, NJ 08648Get directions →

Provider Business Mailing Address Details

Address
2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648-3261
City
Lawrenceville
State
NJ
Zip
08648-3261

License Information

License Number (1)
C5-0012277
License State (1)
DE
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00746500
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Allison Dertouzos, PA-C?

The NPI number of Allison Dertouzos, PA-C is 1669146965. It was assigned on August 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Allison Dertouzos, PA-C?

Allison Dertouzos, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in DE under license number C5-0012277.

Where does Allison Dertouzos, PA-C practice?

The practice location is 2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261. The office can be reached at 609-403-8840 (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 1669146965 directly on the NPPES registry website.

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