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ALIX DETULLIO APN
NPI 1043618747
Clinical Nurse Specialist - Acute Care in Freehold, NJ

Active since December 11, 2014PECOS Enrolled
901 W MAIN ST, FREEHOLD, NJ 07728(732) 431-0023 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alix Detullio Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALIX DETULLIO APN (NPI 1043618747) is an individual acute care provider in Freehold, New Jersey, licensed in New Jersey (26NJ00532200) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043618747
Entity TypeIndividualFemale
Primary Taxonomy364SA2100X
Provider Legal NameALIX DETULLIOCredential: APN
Location Address901 W MAIN STFreehold, NJ 07728-2537
Mailing Address4255 Route 9 N, Suite BFreehold, NJ 07728-8305 · (732) 431-0023
Phone(732) 431-0023
Sole ProprietorNo
Enumeration DateDecember 11, 2014
✔ NPI 1043618747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in NJ · 26NJ00532200
901 W MAIN ST, Freehold, NJ 07728
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alix Detullio Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims29 services$61.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims15 services$28.63 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims14 services$34.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTONIOUS SHERIF FAWZY DO
Internal Medicine
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
CYNTHIA LYNN KINSELLA
Community Health Worker
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 308-0570
DEBORAH A FOLEY FNP-BC
Nurse Practitioner (Family)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
AMIT S KHAROD MD
Surgery
901 W MAIN ST, SUITE 107
FREEHOLD, NJ 07728
Monmouth County (732) 308-4202
YEVGAS PRECESION SERVICES
Surgery
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 742-5084
DIANE YACONO NP
Nurse Practitioner (Adult Health)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2674
BARRY FRIEDENBERG M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST, MEDICAL ARTS BUILDING
FREEHOLD, NJ 07728
Monmouth County (732) 462-3302
BOKRAN WON M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alix Detullio's NPI number?

The NPI number for Alix Detullio is 1043618747. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Alix Detullio located?

Alix Detullio practices at 901 W Main St, Freehold, NJ 07728. The listed phone number is (732) 431-0023.

What is Alix Detullio's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.

Is Alix Detullio enrolled in Medicare?

Yes. Alix Detullio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alix Detullio was last updated on December 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.