Individual provider Active NPI

Yael Davidowitz, APN

  • Gerontology Nurse Practitioner
  • Haddonfield, NJ
National Provider Identifier
1861889396
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
226NJ00561000 Issued in NJ
Practice address
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone
(856) 354-2211
Fax
(856) 354-6181
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 226NJ00561000 NJ Primary

Addresses

Primary practice location

132 Grove St
Suite a
Haddonfield, NJ 08033-1224

Mailing address

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226NJ00561000NJMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1861889396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 GROVE ST",
            "address_2": "SUITE A",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331224",
            "telephone_number": "856-354-2211",
            "fax_number": "856-354-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GROVE ST",
            "address_2": "SUITE A",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331224",
            "telephone_number": "856-354-2211",
            "fax_number": "856-354-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOWITZ",
        "first_name": "YAEL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "226NJ00561000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.