ALYSHA THEOSMY PA
NPI 1508117953
Physician Assistant - Surgical in Burlington, NJ

Q: What is Alysha Theosmy's NPI number?

The NPI number for Alysha Theosmy is 1508117953. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Q: What is Alysha Theosmy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alysha Theosmy was last updated on October 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2012PECOS Enrolled

2103 BURLINGTON MOUNT HOLLY RD, BURLINGTON, NJ 08016(609) 747-9200 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Oct 14, 2020, Oct 8, 2020 and 1 more (4 updates tracked since 2016).

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About Alysha Theosmy Pa NPPES

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

ALYSHA THEOSMY PA (NPI 1508117953) is an individual surgical provider in Burlington, New Jersey, licensed in New Jersey (25MP00298200) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508117953

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameALYSHA THEOSMYCredential: PA

Location Address2103 BURLINGTON MOUNT HOLLY RDBurlington, NJ 08016-4157

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330

Phone(609) 747-9200

Sole ProprietorNo

Enumeration DateSeptember 25, 2012

Last NPPES UpdateOctober 19, 20204 updates tracked since enumeration

NPPES CertifiedOctober 19, 2020

✔ NPI 1508117953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NJ · 25MP00298200

Also ListedPhysician AssistantTaxonomy 363A00000X · License MA055669 (PA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 25MP00298200 (NJ)

2103 BURLINGTON MOUNT HOLLY RD, Burlington, NJ 08016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysha Theosmy Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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