Individual provider Active NPI

Aicha Fofana, MSN, APRN, FNP-C

  • Pediatric Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1124883228
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ15062600 Issued in NJ
Practice address
1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone
(888) 803-3370
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1208251 TX
Family Nurse Practitioner 363LF0000X F353531 NY
Family Nurse Practitioner 363LF0000X 3228739 AZ
Family Nurse Practitioner 363LF0000X 86012 NM
Family Nurse Practitioner 363LF0000X 26NJ15062600 NJ
Pediatric Nurse Practitioner 363LP0200X 26NJ15062600 NJ Primary
Family Nurse Practitioner 363LF0000X 11042520 FL
Family Nurse Practitioner 363LF0000X 0105088 CO

Addresses

Primary practice location

1400 N Coit Rd Ste 302
McKinney, TX 75071-6656

Mailing address

374 7TH Ave W Unit 7114
Newark, NJ 07107-7005
Phone (862) 235-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911001254 NJ Practitioner - Nurse Practitioner 6204339781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Community Health Centers IncGroup PAC ID 2163334665, 39 clinicians
Circle Medical Care Group of New Jersey PCGroup PAC ID 9830629419, 8 clinicians

Practice addresses (Care Compare)

1150 Springfield Ave
Irvington, NJ 07111-2441
Phone (973) 399-6292

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (855) 487-8497

741 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

751 Broadway
Newark, NJ 07104-4309
Phone (973) 483-1300

92 -96 Ferry St
Ironbound Medical and Dental Clinic
Newark, NJ 07104-4309
Phone (973) 803-4510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3228739AZMDFamily Nurse Practitioner
0105088COMDFamily Nurse Practitioner
11042520FLMDFamily Nurse Practitioner
86012NMMDFamily Nurse Practitioner
F353531NYMDFamily Nurse Practitioner
1208251TXMDFamily Nurse Practitioner
26NJ15062600NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group of New Jersey PC Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Mahi Pediatrics PC Past Accepting new patients
Mahi Pediatrics P.C. Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

830 Morris Tpke
Ste 401
Short Hills, NJ 07078
Phone (848) 289-1892

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1124883228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 7TH AVE W UNIT 7114",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071077005",
            "telephone_number": "862-235-7886",
            "fax_number": "307-888-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 302",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716656",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "AICHA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1208251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353531",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "3228739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "86012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15062600",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ15062600",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042520",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0105088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.