Provider Demographics
NPI:1538518113
Name:PINGITORE, ALISON MARIA (FNP)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:MARIA
Last Name:PINGITORE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:ALISON
Other - Middle Name:MARIA
Other - Last Name:DAPONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:409 VATH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5219
Mailing Address - Country:US
Mailing Address - Phone:732-691-1601
Mailing Address - Fax:
Practice Address - Street 1:140 WATER ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1100
Practice Address - Country:US
Practice Address - Phone:732-691-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00615600363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0515531Medicaid