Active NPI
Yael Davidowitz, APN
- Gerontology Nurse Practitioner
- Haddonfield, NJ
National Provider Identifier
1861889396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 226NJ00561000
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 226NJ00561000 | NJ | MD | Gerontology 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.