Active NPI
Michelle C Fox, M.D.
- Obstetrics & Gynecology Physician
- Belle Mead, NJ
National Provider Identifier
1790717619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA09656500
- Practice address
- 162 Berkley Ave
Belle Mead, NJ 08502-4638 - Phone
- (443) 386-4555
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D59967 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 25MA09656500 | NJ | Primary |
Addresses
Primary practice location
162 Berkley Ave
Belle Mead, NJ 08502-4638
Mailing address
162 Berkley Ave
Belle Mead, NJ 08502-4638
Phone (443) 386-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402127400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D59967 | MD | MD | Obstetrics & Gynecology Physician |
| 25MA09656500 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of MD Obstetrical and Gynecological Asso. PA | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1144252990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1790717619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BERKLEY AVE",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085024638",
"telephone_number": "443-386-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BERKLEY AVE",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085024638",
"telephone_number": "443-386-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MICHELLE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D59967",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA09656500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402127400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Mead, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.