Organization Active NPI

Newark Beth Israel Medical Center

  • Children's Hospital
  • Newark, NJ
National Provider Identifier
1043498967
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
26NJ00108900 Issued in NJ
Legal business name
NEWARK BETH ISRAEL MEDICAL CENTER
Practice address
201 Lyons Ave
L5 Pediatric Clinic
Newark, NJ 07112-2027
Phone
(973) 926-7274
Fax
(973) 705-3148
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Dennis Brenner, MD
Title
Pediatric Endocrinologist
Phone
(973) 926-8537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 26NJ00108900 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
L5 Pediatric Clinic
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
L5 Pediatric Clinic
Newark, NJ 07112-2027
Phone (973) 926-7274

National Provider Directory

National Provider Directory
Tax ID family
Nbimc Family Health Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1043498967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "L5 PEDIATRIC CLINIC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7274",
            "fax_number": "973-705-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "address_2": "L5 PEDIATRIC CLINIC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7274",
            "fax_number": "973-705-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK BETH ISRAEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PEDIATRIC ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "973-926-8537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NJ",
            "license": "26NJ00108900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.