Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allison Dertouzos, PA-C

Individual provider Physician Assistant · NPI 1669146965

Allison Dertouzos, PA-C is a Physician Assistant in Lawrenceville, New Jersey. Qualified in 2022, 4 years ago. Practices with The Medical Group of New Jersey, a 298-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Delaware and New Jersey.

Years since qualifying
4
Licensed in
DE, NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648-3261
Phone: (609) 403-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 — (302) 623-4370
  • 600 S 43rd St, Philadelphia, PA 19104-4418 — (215) 596-7140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00746500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence C5-0012277 (DE)

Record details

NPI number1669146965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address2999 Princeton Pike Ste 2, Lawrenceville, NJ 08648-3261

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 The Medical Group Of New Jersey — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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