Provider Demographics
NPI:1629466115
Name:ALEXIS CUGINI, APN-C MEDICINE
Entity Type:Organization
Organization Name:ALEXIS CUGINI, APN-C MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CUGINI
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:609-970-3750
Mailing Address - Street 1:817 COOLIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-3605
Mailing Address - Country:US
Mailing Address - Phone:609-970-3750
Mailing Address - Fax:
Practice Address - Street 1:1 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-3504
Practice Address - Country:US
Practice Address - Phone:609-970-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00297700261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service