MEDICARE: RICHARD D FOX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	25MA02445800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578531133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD D FOX MD

Provider Business Mailing Address
First Line	:	3202 KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306
Country	:	US
Telephone Number	:	201-332-4500
Fax Number	:	201-792-5983

Provider Business Practice Location Address
First Line	:	100 OLD PALISADE RD APT 3206
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-7025
Country	:	US
Telephone Number	:	201-346-2052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	05/09/2025

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