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

Alyssa Detogni, PA

Individual provider Physician Assistant · NPI 1114509973

Alyssa Detogni, PA is a Physician Assistant in Shrewsbury, New Jersey. Qualified in 2021, 5 years ago. Practices with Breslow Center for Plastic Surgery, a 4-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone: (732) 741-0970
Show map & directions

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

Additional practice locations (1)

  • 300 Crossings Blvd, Warwick, RI 02886-2878 — (401) 777-7000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114509973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Breslow Center For Plastic Surgery — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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