Healthcare Provider Details

I. General information

NPI: 1083403562
Provider Name (Legal Business Name): CYNTHIA FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ESSEX RD
PARAMUS NJ
07652-1451
US

IV. Provider business mailing address

15 ESSEX RD
PARAMUS NJ
07652-1451
US

V. Phone/Fax

Practice location:
  • Phone: 201-251-3462
  • Fax:
Mailing address:
  • Phone: 201-251-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15606200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: