Active NPI
Beverly Davison, MD
- Emergency Medicine Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MA06639300
- Practice address
- 30 Prospect Ave
Etd
Hackensack, NJ 07601-1914 - Phone
- (201) 996-4614
- Fax
- (201) 968-1866
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA06639300 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Etd
Hackensack, NJ 07601-1914
Mailing address
11 Pheasant Run
Englewood, NJ 07631-5043
Phone (201) 996-4614
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.61 of 100
- Quality
- 55.21
- Improvement activities
- 40
- Cost
- 67.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA06639300 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrodoc Healthcare LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Compassion Medical Group PC | Current | Accepting new patients | |
| Njucare LLC | Current | Accepting new patients | |
| Riverview Medical Care Corp | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
365 Convery Blvd
Ste 14
Perth Amboy, NJ 08861
Phone (973) 310-7000
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
141 Chestnut St
Ste 201
Roselle Park, NJ 07204
Phone (973) 210-4000
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
Interoperability endpoints
- https://api.platform.athenahealth.com/24140/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Primary Care Clinic/Center
- Paterson, NJ
- NPI 1508540006
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Primary Care Clinic/Center
- Perth Amboy, NJ
- NPI 1215628821
-
- Clinic/Center
- Roselle Park, NJ
- NPI 1598455529
-
- Clinic/Center
- Paterson, NJ
- NPI 1740964246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720029820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PHEASANT RUN",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076315043",
"telephone_number": "201-996-4614",
"fax_number": "201-968-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "ETD",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-996-4614",
"fax_number": "201-968-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "BEVERLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MA06639300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.