Marengo, Alysha
Marengo, Alysha is an individual health care provider with primary practice located at 326 Pine St , Pompton Lakes NJ 07442-1617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Marengo, Alysha can be contacted via phone (973) 510-1341.Contact Information
Primary practice address
326 Pine St
Pompton Lakes NJ 07442-1617
Phone: (973) 510-1341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26NR17901200 | New Jersey |
Profile Details
| NPI number | 1972127629 |
|---|---|
| LBN Legal business name | Marengo, Alysha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2020 |
| Last updated | May 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972127629 | NPPES |
| New Jersey | MEDICAID | 26NR17901200 | |
| New Jersey | Other | 26NR17901200 |
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