The Tuckahoe River rises in central Atlantic County, approximately 5 miles (8 km) east of Vineland and flows south, then east, forming part of the boundary between Atlantic and Cape May counties, then past Tuckahoe, where it becomes navigable.

It flows into Great Egg Harbor Bay just south of the mouth of the Great Egg Harbor River, approximately 5 miles (8 km) southwest of Atlantic City.

The lower 4 miles (6 km) form a widening estuary through Great Cedar Swamp downstream from its head of navigation at Tuckahoe.

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