Elizabeth Willis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00920500 Issued in NJ

Practice address

72 Burnham Rd
Morris Plains, NJ 07950-1630

Phone

(908) 303-3966

NPI assigned

Jan 24, 2014

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1700209806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BURNHAM RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501630",
            "telephone_number": "908-303-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BURNHAM RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501630",
            "telephone_number": "908-303-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Finderne Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088073670",
            "country_code": "US",
            "telephone_number": "908-392-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00920500",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Volpina, PHARMACIST
• Janet Frances Walek, LCSW
• Richard Henry Wedemeyer Jr., DDS
• Robert A Weintraub, D.M.D
• Elizabeth Westerhoff
• Justin B. Wilson, M.D. FACP
• Zelig Wong, DDS
• Maria Elena Xiques, PSY.D.
• David Yang
• Yonder Health Corporation

• Speech-Language Pathologist in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.