Alix Detullio, APN
NPI 1043618747 · Acute Care Clinical Nurse Specialist · Freehold, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alix Detullio, APN is a Acute Care Clinical Nurse Specialist provider in Freehold, NJ (NPI 1043618747).
Provider details
- NPI number
- 1043618747
- Entity type
- Individual
- Primary specialty
- Acute Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00532200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2014-12-11
Frequently asked questions
- What is Alix Detullio's NPI number?
- Alix Detullio's National Provider Identifier (NPI) is 1043618747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alix Detullio's specialty?
- Alix Detullio is listed in the NPPES registry with a primary specialty of Acute Care Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alix Detullio located?
- Alix Detullio's practice location on file with NPPES is 901 W Main St, Freehold, NJ 07728-2537.
- What is Alix Detullio's phone number?
- The practice phone number listed in the NPPES registry for Alix Detullio is (732) 431-0023.
- Does Alix Detullio accept Medicare?
- Alix Detullio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alix Detullio's NPI active?
- Yes — Alix Detullio's NPI (1043618747) is active in the NPPES registry as of the last update on 2014-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.