Provider Demographics
NPI:1952883514
Name:RINGEL, MERISSA MARIE
Entity Type:Individual
Prefix:
First Name:MERISSA
Middle Name:MARIE
Last Name:RINGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 SHADY GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4243
Mailing Address - Country:US
Mailing Address - Phone:724-207-3802
Mailing Address - Fax:
Practice Address - Street 1:20 JACKSON ST STE E
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2476
Practice Address - Country:US
Practice Address - Phone:732-363-6655
Practice Address - Fax:732-363-6656
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452660183500000X
NJ28RI03957100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist