Active NPIIndividual providerSole proprietor

Stacy Davidson

Physical Medicine & Rehabilitation in Livingston, New Jersey

NPI Number1043764061
Practice location
6 Elkin Dr, Livingston, NJ 07039-1308
Fax
—
Last updated
August 8, 2016

Stacy Davidson is a Physical Medicine & Rehabilitation based in Livingston, NJ. Stacy Davidson practices in Livingston, NJ. The NPI Number for Stacy Davidson is 1043764061 and holds a License No. 18KT00911000 (NJ). The current practice location address for Stacy Davidson is 6 Elkin Dr, Livingston, NJ 07039-1308 and can be reached out via phone at 973-992-9622.

Provider Profile Details

NPI Number
1043764061
Provider Name
Stacy Davidson
Provider Entity Type
Individual
Gender
Female
Address
6 Elkin Dr, Livingston, NJ 07039-1308
Phone Number
973-992-9622
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2016
Last Update Date
August 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Elkin Dr
Livingston, NJ 07039-1308
Zip
07039-1308
Phone Number
973-992-9622
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
6 Elkin Dr
Livingston, NJ 07039-1308
City
Livingston
State
NJ
Zip
07039-1308

License Information

License Number
18KT00911000
License State
NJ
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Davidson?

The NPI number of Stacy Davidson is 1043764061. It was assigned on August 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Stacy Davidson?

Stacy Davidson is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in NJ under license number 18KT00911000.

Where does Stacy Davidson practice?

The practice location is 6 Elkin Dr, Livingston, NJ 07039-1308. The office can be reached at 973-992-9622 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043764061 directly on the NPPES registry website.

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