Active NPI
Beth Ellen Davidoff, PH.D., CCC-SLP
- Speech-Language Pathologist
- Hightstown, NJ
National Provider Identifier
1285944090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002703-01
- Practice address
- 9 Ashton LN
Hightstown, NJ 08520-3055 - Phone
- (973) 985-4341
- NPI assigned
- Oct 14, 2010
- Last updated
- Aug 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002703-01 | NJ | Primary |
Addresses
Primary practice location
9 Ashton LN
Hightstown, NJ 08520-3055
Mailing address
9 Ashton LN
Hightstown, NJ 08520-3055
Phone (973) 985-4341
Other practice location 1
322 Cedarwood Hall
Westchester Institute for Human Development
Valhalla, NY 10595
Phone (914) 493-1317
Other practice location 2
8360 Old York Rd Dept Of
Elkins Park, PA 19027-1598
Phone (215) 780-1400
Other names 1
- Beth Ellen Breakstone
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002703-01 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1285944090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ASHTON LN",
"city": "HIGHTSTOWN",
"state": "NJ",
"postal_code": "085203055",
"telephone_number": "973-985-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ASHTON LN",
"city": "HIGHTSTOWN",
"state": "NJ",
"postal_code": "085203055",
"telephone_number": "973-985-4341"
}
],
"practiceLocations": [
{
"address_1": "322 Cedarwood Hall",
"address_2": "Westchester Institute for Human Development",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-493-1317",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8360 Old York Rd Dept Of",
"address_purpose": "LOCATION",
"city": "Elkins Park",
"state": "PA",
"postal_code": "190271598",
"country_code": "US",
"telephone_number": "215-780-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDOFF",
"first_name": "BETH",
"middle_name": "ELLEN",
"credential": "PH.D., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "002703-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "BREAKSTONE",
"middle_name": "ELLEN",
"credential": "M.S., M.ED., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hightstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.