ALEXIS A FITZSIMMONS APN NPI 1104867399

NPI Information

  • NPI: 1104867399
  • Provider Name: ALEXIS A FITZSIMMONS, APN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 20 PROSPECT AVE
    BREAST CENTER
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 336-8111

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NPI Details

Alexis A Fitzsimmons, APN is a women's health nurse practitioner in Hackensack, NJ. Alexis A Fitzsimmons, APN NPI is 1104867399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 PROSPECT AVE
BREAST CENTER
HACKENSACK, NJ
ZIP 07601-997
Phone: (201) 336-8111

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health26NO07839200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1026632MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2S79477MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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