Alysha Marengo, is a
Family Medicine physician based in Pompton Lakes, New Jersey. Alysha Marengo is licensed to practice in New Jersey (license number 26NR17901200) and her current practice location is 326 Pine St, Pompton Lakes, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 510-1341.
NPI number for Alysha Marengo is 1972127629 and her current mailing address is 326 Pine St, Pompton Lakes, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972127629.
Physician's Profile
| Full Name | Alysha Marengo |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 326 Pine St, Pompton Lakes, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972127629
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 05/28/2020
Medical Identifiers
Medical identifiers for Alysha Marengo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972127629 | NPI | - | NPPES |
| 26NR17901200 | Medicaid | NJ | |
| 26NR17901200 | Other | NJ | FNP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 26NR17901200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alysha Marengo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alysha Marengo,
326 Pine St,
Pompton Lakes, NJ 07442-1617
Ph: () - | Alysha Marengo,
326 Pine St,
Pompton Lakes, NJ 07442-1617
Ph: (973) 510-1341 |
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