ALIX DETULLIO (NPI# 1043618747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043618747 |
| Entity Type | Individual |
| Full Name | ALIX DETULLIO |
| Credential | APN |
| Practice Address |
901 W Main St Freehold NJ 07728-2537 |
| Mailing Address |
4255 Route 9 N Suite B Freehold NJ 07728-8305 |
| Practice Telephone | 7324310023 |
| Mailing Telephone | 7324310023 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
26NJ00532200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 W MAIN ST |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476073 | Ted Gutowski | Internal Medicine | 901 W Main St, Suite 205, Freehold, NJ 07728-2537 | 2005-06-13 |
| 1982205134 | Natalie Meltzer | Dietitian, Registered | 901 W Main St, Freehold, NJ 07728-2537 | 2020-11-04 |
| 1679172894 | Dorea Dimaggio | Physician Assistant | 901 W Main St, Freehold, NJ 07728-2537 | 2020-10-19 |
| 1801401708 | Karan Adalja | Pharmacist | 901 W Main St, Freehold, NJ 07728-2537 | 2020-09-09 |
| 1245852631 | Lisa J Rivera | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2020-05-08 |
| 1932733821 | Karen Cohen | Physical Therapist | 901 W Main St, Freehold, NJ 07728-2537 | 2020-02-28 |
| 1396380952 | Melina R Hughes | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-11-07 |
| 1003450677 | Deborah A Foley | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2019-11-06 |
| 1992353007 | Megan Brittany Restua | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-09-02 |
| 1659929164 | Suzanne Chrebet | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2537 | 2019-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871914481 | Ronald Cha | Clinical Nurse Specialist | 34-36 Progress St, Suite A-7, Edison, NJ 08820-1197 | 2013-12-27 |
| 1023397437 | Joanne Duffy | Clinical Nurse Specialist | 224 Hamburg Tpke, Wayne, NJ 07470-2111 | 2011-08-16 |
| 1235441148 | Linda Gurick | Clinical Nurse Specialist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2010-07-08 |
| 1205995073 | Helen M Miley | Clinical Nurse Specialist | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-12-08 |
Please comment or provide details below to improve the information on ALIX DETULLIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.