Active NPI
George Beecher, MD
- Otolaryngology Physician
- Warren, NJ
National Provider Identifier
1073574059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 23390
- Practice address
- 65 Mountain Blvd
Suite 208
Warren, NJ 07059 - Phone
- (732) 764-9494
- Fax
- (732) 764-9496
- NPI assigned
- Mar 30, 2006
- Last updated
- Oct 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 23390 | NJ | Primary |
Addresses
Primary practice location
65 Mountain Blvd
Suite 208
Warren, NJ 07059
Mailing address
65 Mountain Blvd
Suite 208
Warren, NJ 07059
Phone (732) 764-9494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23390 | Other | NJ | STATE LIC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23390 | NJ | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1073574059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MOUNTAIN BLVD",
"address_2": "SUITE 208",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "732-764-9494",
"fax_number": "732-764-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MOUNTAIN BLVD",
"address_2": "SUITE 208",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "732-764-9494",
"fax_number": "732-764-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEECHER",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "23390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "23390",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.