Individual provider Active NPI

Alyssa Martin, PA-C

  • Physician Assistant
  • Trenton, NJ
National Provider Identifier
1043707276
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA70063091 Issued in WA
Practice address
1374 Whitehorse Hamilton Square Rd FL 2
Trenton, NJ 08690-3701
Phone
(609) 586-1319
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA70063091 WA Primary
Medical Physician Assistant 363AM0700X C110000025 DE
Medical Physician Assistant 363AM0700X MA059701 PA
Medical Physician Assistant 363AM0700X 25MP00504000 NJ
Adult Medicine Physician 207QA0505X OA004442 PA

Addresses

Primary practice location

1374 Whitehorse Hamilton Square Rd FL 2
Trenton, NJ 08690-3701

Mailing address

1374 Whitehorse Hamilton Square Rd FL 2
Trenton, NJ 08690-3701
Phone (609) 586-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190529001509 PA Practitioner - Physician Assistant 8628311024 Reassigns benefits to 2 organizations
I20190823003366 NJ Practitioner - Physician Assistant 8628311024 Reassigns benefits to 1 organization
I20250909001127 DE Practitioner - Physician Assistant 8628311024 Reassigns benefits to 1 organization
I20260128004076 WA Practitioner - Physician Assistant 8628311024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 120
Wilmington, DE 19808-5424
Phone (302) 832-1545

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA70063091WAMDPhysician Assistant
C110000025DEMDMedical Physician Assistant
25MP00504000NJMDMedical Physician Assistant
MA059701PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC Physician Assistant CurrentSince Jan 14, 2026 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 14, 2026 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2023 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1043707276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD FL 2",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-586-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD FL 2",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-586-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70063091",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C110000025",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059701",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00504000",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "OA004442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.