Provider Demographics
NPI:1578559050
Name:HARVEY, ALEXIS (MD)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 ROUTE 70 E STE 220
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2005
Mailing Address - Country:US
Mailing Address - Phone:856-429-1519
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1865 ROUTE 70 E STE 220
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2005
Practice Address - Country:US
Practice Address - Phone:856-429-1519
Practice Address - Fax:856-427-2933
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA052960002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000393204OtherAMERICHOICE-WIILINGBORO #
NJ2095306000OtherAMERIHEALTH PROVIDER #
NJ60014846OtherHORIZON NJ HEALTH PROV. #
NJ80456OtherAMERIGROUP PROVIDER #
NJ824145OtherFIRST HEALTH/CCN PROV. #
NJ01000393202OtherAMERICHOICE-VOORHEES #
NJ2K7310OtherHEALTH NET PROVIDER #
NJ39907OtherUNIV. HLTH PROVIDER #
NJ4099457OtherGHI PROVIDER NUMBER
NJ0911197OtherCIGNA PROVIDER NUMBER
NJ5449201Medicaid
NJBNS020OtherOXFORD HEALTH PROVIDER #
NJ01000393206OtherAMERICHOICE- HAMMONTON
NJ3644700OtherAETNA PROVIDER NUMBER
NJP00179709OtherRAILROAD MCARE PROV. #
NJ01000393203OtherAMERICHOICE-WOODBURY #
NJ5448201Medicaid
NJ01000393204OtherAMERICHOICE-WIILINGBORO #
NJ01000393203OtherAMERICHOICE-WOODBURY #
NJ5449201Medicaid