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

Alyssa Wall

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1588110746

Alyssa Wall is a Nurse Practitioner in Florham Park, New Jersey. Qualified in 2016, 10 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016

Practice location Address checks out

140 Park Ave
Florham Park, NJ 07932-1049
Phone: (973) 718-5775
Fax: (973) 314-8931
Show map & directions

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

Additional practice locations (1)

  • 716 Broad St, Clifton, NJ 07013-1645 — (973) 221-3122

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 26NJ00653400 (NJ)

Record details

NPI number1588110746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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