Provider Demographics
NPI:1962441774
Name:FOX, ALECIA (NP)
Entity type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:FOX
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:4011 ROUTE 9 S STE 201
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1918
Practice Address - Country:US
Practice Address - Phone:609-463-2273
Practice Address - Fax:609-770-7729
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09263500363L00000X
DELG0000250363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1962441774Medicaid
DE0000978142Medicaid
DE1962441774Medicaid
DE0000978142Medicaid