Individual provider

Alix Detullio, APN

Acute Care Clinical Nurse Specialist Medicare enrolled

Alix Detullio, APN is an Acute Care Clinical Nurse Specialist in Freehold, NJ, registered under NPI 1043618747.

Getting there

The practice address on file is 901 W MAIN ST, Freehold, NJ 07728. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

901 W MAIN ST, Freehold, NJ 07728 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
26NJ00532200 NJ Acute Care Clinical Nurse Specialist primary

This provider holds licence 26NJ00532200 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5799090304
Enrollment ID
I20150811005576

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Acute Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 364SA2100X
Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Acute Care

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1043618747 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 11, 2014
Last updatedDec 11, 2014
StatusActive
Sole proprietorNo
CredentialAPN
Practice address 901 W MAIN ST
Freehold, NJ 07728
(732) 431-0023
Mailing address 4255 ROUTE 9 N SUITE B
Freehold, NJ 07728
This record was last updated on Dec 11, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1043618747 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 4 3 6 1 8 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 8 3 3 1 7 7 8

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1043618747?
NPI 1043618747 is the National Provider Identifier assigned to Alix Detullio, APN in Freehold, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Acute Care cover?
Definition to come...
How do I contact Alix Detullio, APN?
The phone number on file with NPPES is (732) 431-0023, last updated Dec 11, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alix Detullio, APN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1043618747 a valid number?
Yes. 1043618747 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.