ALISA MARGARET GHANAIM (PA-C) – Physician Assistant, NPI 1457079139
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for ALISA MARGARET GHANAIM (PA-C)
2150 PERRINE RD
MARTINSVILLE, NJ 088362305
Phone: (732) 397-8082
Type: Mailing
1005 N WASHINGTON AVE
GREEN BROOK, NJ 088122698
Phone: (732) 968-8900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $933.
Total Amount is formed as General ($933) + Research ($0) + Ownership ($0) = $933.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($354).
Total Amount
$933
General + Research + Ownership
Payments
44
Total payment records
General Amount
$933
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $354 |
| Exact Sciences Corporation | $333 |
| Axsome Therapeutics, Inc. | $66 |
| PFIZER INC. | $31 |
| Lilly USA, LLC | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221006000706 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08836)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| Family Practice | NJ | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| - | NJ |
Reviews
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