Healthcare Provider Details

I. General information

NPI: 1952883514
Provider Name (Legal Business Name): MERISSA MARIE RINGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 JACKSON ST STE E
FREEHOLD NJ
07728-2476
US

IV. Provider business mailing address

2612 SHADY GLEN AVE
POINT PLEASANT BORO NJ
08742-4243
US

V. Phone/Fax

Practice location:
  • Phone: 732-363-6655
  • Fax: 732-363-6656
Mailing address:
  • Phone: 724-207-3802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP452660
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03957100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: