Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA DETOGNI PA
NPI 1114509973
Physician Assistant - Surgical in Maywood, NJ

Active since April 22, 2021PECOS Enrolled
113 W ESSEX ST STE 201, MAYWOOD, NJ 07607(201) 251-7725 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Oct 5, 2023, Apr 22, 2021 (3 updates tracked since 2021).

About Alyssa Detogni Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA DETOGNI PA (NPI 1114509973) is an individual surgical provider in Maywood, New Jersey and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114509973
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALYSSA DETOGNICredential: PA
Location Address113 W ESSEX ST STE 201Maywood, NJ 07607-1023
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1114509973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
113 W ESSEX ST STE 201, Maywood, NJ 07607

Secondary Practice Locations 2

Location 1300 Crossings BlvdWarwick, RI 02886-2878 · Phone (401) 777-7000
Location 2535 Sycamore AveShrewsbury, NJ 07702-4224 · Phone (732) 741-0970

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Detogni Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597169300
PECOS Enrollment IDI20230913001020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
113 W ESSEX ST STE 201
MAYWOOD, NJ 07607
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
113 W ESSEX ST STE 201
MAYWOOD, NJ 07607
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
113 W ESSEX ST STE 201
MAYWOOD, NJ 07607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Detogni's NPI number?

The NPI number for Alyssa Detogni is 1114509973. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Alyssa Detogni located?

Alyssa Detogni practices at 113 W Essex St Ste 201, Maywood, NJ 07607. The listed phone number is (201) 251-7725.

What is Alyssa Detogni's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alyssa Detogni enrolled in Medicare?

Yes. Alyssa Detogni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alyssa Detogni affiliated with any hospitals?

According to CMS data, Alyssa Detogni is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Alyssa Detogni was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.