Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Margaret Ghanaim, PA-C

Individual provider Physician Assistant · NPI 1457079139

Alisa Margaret Ghanaim, PA-C is a Physician Assistant in Green Brook, New Jersey. Qualified in 2022, 4 years ago. Practices with Medemerge LLC, a 21-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1005 N Washington Ave
Green Brook, NJ 08812-2698
Phone: (732) 968-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00727000 (NJ)

Record details

NPI number1457079139
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medemerge Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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