Individual provider Active NPI

Elizabeth Davison, PA

  • Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1912315169
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00342100 Issued in NJ
Practice address
325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212
Phone
(973) 822-2000
Fax
(973) 822-2001
NPI assigned
Jul 31, 2014
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00342100 NJ Primary

Addresses

Primary practice location

325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212

Mailing address

325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212
Phone (973) 822-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008000855 NJ Practitioner - Physician Assistant 5698995926 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00342100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maron & Rodrigues Medical Group LLC PastSince Jan 1, 2005 Accepting new patients
Northern Colorado Hospitalists Professional LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.davison@can.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBHBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1912315169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA TPKE STE 106",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321212",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA TPKE STE 106",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321212",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00342100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.