Active NPIIndividual provider

Mrs. Alexis A Johnson-Maxim, NP-C

Nurse Practitioner in Madison, New Jersey

NPI Number1083952097
Practice location
300 Madison Ave, Madison, NJ 07940-1868
Fax
973-822-2773
Last updated
March 8, 2023

Alexis Aliyha Johnson-Maxim is a Nurse Practitioner based in Madison, NJ. Alexis Aliyha Johnson-Maxim practices in Madison, NJ and has the professional credentials of NP-C. The NPI Number for Alexis Aliyha Johnson-Maxim is 1083952097 and holds a License No. 26NJ00951800 (NY). The current practice location address for Alexis Aliyha Johnson-Maxim is 300 Madison Ave, Madison, NJ 07940-1868 and can be reached out via phone at 973-822-2772 and via fax at 973-822-2773.

Provider Profile Details

NPI Number
1083952097
Provider Name
Alexis Aliyha Johnson-Maxim
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
300 Madison Ave, Madison, NJ 07940-1868
Phone Number
973-822-2772
Fax Number
973-822-2773
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2013
Last Update Date
March 8, 2023
Certification Date
March 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Madison Ave
Madison, NJ 07940-1868
Zip
07940-1868
Phone Number
973-822-2772
Fax Number
973-822-2773
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
6 Summit St Apt 317
West Orange, NJ 07052-1502
City
West Orange
State
NJ
Zip
07052-1502
Phone Number
347-248-1313

License Information

License Number (1)
26NJ00951800
License State (1)
NY
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
26NJ00951800
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Alexis A Johnson-Maxim, NP-C?

The NPI number of Mrs. Alexis A Johnson-Maxim, NP-C is 1083952097. It was assigned on January 25, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alexis A Johnson-Maxim, NP-C?

Mrs. Alexis A Johnson-Maxim, NP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NY under license number 26NJ00951800.

Where does Mrs. Alexis A Johnson-Maxim, NP-C practice?

The practice location is 300 Madison Ave, Madison, NJ 07940-1868. The office can be reached at 973-822-2772 (phone) or 973-822-2773 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083952097 directly on the NPPES registry website.

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