Active NPIIndividual provider

Ellen T Van Fossen, RN, APN

Nurse Practitioner, Gerontology in Stratford, New Jersey

NPI Number1093795585
Practice location
42 Laurel RD E, Udp #1800, Stratford, NJ 08084-1354
Fax
856-566-6419
Last updated
November 8, 2026

Ellen T Van Fossen is a Nurse Practitioner, Gerontology based in Stratford, NJ. Ellen T Van Fossen practices in Stratford, NJ and has the professional credentials of RN, APN. The NPI Number for Ellen T Van Fossen is 1093795585 and holds a License No. NO08244100 (NJ). The current practice location address for Ellen T Van Fossen is 42 Laurel RD E, Udp #1800, Stratford, NJ 08084-1354 and can be reached out via phone at 856-566-6843 and via fax at 856-566-6419.

Provider Profile Details

NPI Number
1093795585
Provider Name
Ellen T Van Fossen
Credential
RN, APN
Provider Entity Type
Individual
Gender
Female
Address
42 Laurel RD E, Udp #1800, Stratford, NJ 08084-1354
Phone Number
856-566-6843
Fax Number
856-566-6419
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Other Names
-- Ellen T Doddy, RN (Former Name)
Provider Enumeration Date
January 19, 2006
Last Update Date
November 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Laurel RD E
Udp #1800
Stratford, NJ 08084-1354
Zip
08084-1354
Phone Number
856-566-6843
Fax Number
856-566-6419
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
42 E Laurel RD
Udp #1800
Stratford, NJ 08084-1354
City
Stratford
State
NJ
Zip
08084-1354
Phone Number
856-566-6843
Fax Number
856-566-6419

License Information

License Number (1)
NO08244100
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
NN08244100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Ellen T Van Fossen, RN, APN?

The NPI number of Ellen T Van Fossen, RN, APN is 1093795585. It was assigned on January 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Ellen T Van Fossen, RN, APN?

Ellen T Van Fossen, RN, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number NO08244100.

Where does Ellen T Van Fossen, RN, APN practice?

The practice location is 42 Laurel RD E, Udp #1800, Stratford, NJ 08084-1354. The office can be reached at 856-566-6843 (phone) or 856-566-6419 (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 1093795585 directly on the NPPES registry website.

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