Alyssa Amereno, DPT
Individual provider Active NPI Physical Therapist · Newton, NJ
NPI 1700544749 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1700544749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA02084800 (NJ)
- Practice address
- 80 Mill St Ste 1
Newton, NJ 07860-1411 - Phone
- (973) 940-7342
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Network Inc
Practice addresses (Care Compare)
80 Mill St
Suite 1
Newton, NJ 07860-1411
Phone (973) 940-7311
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621000716 | NJ | Practitioner - Physical Therapist in Private Practice | 3577953256 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25872 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646
80 Mill St
#1
Newton, NJ 07860
Phone (973) 940-7311
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25872 | MA | |
| Physical Therapist | 225100000X | 40QA02084800 | NJ | Yes |
Addresses
Primary practice location
80 Mill St Ste 1
Newton, NJ 07860-1411
Mailing address
1311 Mamaroneck Ave
White Plains, NY 10605-5221
Phone (914) 294-4050
Other names
- Alyssa Lubin
Other providers in Newton, NJ
- Shumaila Alam
- All Quality Care, Inc.
- All Quality Care, Inc.
- Sarah Altieri Losowyj
- Osbin Gildardo Alvarado Herrera
- Sarah Ameri
- Aditi Kirtikumar Amin
- Karen J Anderson
- Andover Eye Care, L.L.C.
- Andover Orthopaedic Surgery & Sports Medicine, PA
All providers in Newton, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.