Isabelle Beveridge, PH.D., C.O.T.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

46TA09024600 Issued in NJ

Practice address

600 S Livingston Ave
Suite 210
Livingston, NJ 07039-5419

Phone

(800) 278-0332

Fax

(973) 740-9007

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992906036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ECHO LAKE DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180135342",
            "telephone_number": "610-599-5054",
            "fax_number": "610-599-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LIVINGSTON AVE",
            "address_2": "SUITE 210",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395419",
            "telephone_number": "800-278-0332",
            "fax_number": "973-740-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "ISABELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TA09024600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.