Healthcare Provider Details

I. General information

NPI: 1255445599
Provider Name (Legal Business Name): ALYSON ROSE VOGEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSON ROSE FECCI PA-C

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 MARYLAND ST
WESTFIELD NJ
07090-1733
US

IV. Provider business mailing address

240 MARYLAND ST
WESTFIELD NJ
07090-1733
US

V. Phone/Fax

Practice location:
  • Phone: 917-940-8420
  • Fax:
Mailing address:
  • Phone: 917-940-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number23.004995
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0008168
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085.008242
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00173100
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA8027
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA062958
License Number StatePA
# 7
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number011307
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: