NPIMap

Individual provider Active NPI

Omar M. Bey, M.D.

  • Specialist
  • Maplewood, NJ
National Provider Identifier
1083760441
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA45212 Issued in NJ
Practice address
2040 Millburn Ave
403
Maplewood, NJ 07040-3726
Phone
(973) 761-6761
Fax
(973) 761-6763
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA45212 NJ Primary

Addresses

Primary practice location

2040 Millburn Ave
403
Maplewood, NJ 07040-3726

Mailing address

231 Montrose Ave
South Orange, NJ 07079-2416
Phone (973) 926-6761

Other identifiers 1

IdentifierTypeStateIssuer
1087100MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001088 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7113012022 Reassigns benefits to 1 organization
Practice locations: Bayonne, NJ; Maplewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Rutgers New Jersey Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

654 Ave C
Suite 2
Bayonne, NJ 07002-3899
Phone (201) 437-5600

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA45212NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Dec 1, 2013 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Comprehensive Pulmonary and Critical Care PC Past Accepting new patients
Newark Community Health Centers, Inc PastSince Jan 1, 2008 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

Interoperability endpoints

  • Direct secure messaging: obey@direct.bayonnemedicalcenter.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Irvington Community Health CenterIrvington, NJ, CCN 311856 Federally qualified health center Corporate Officer
Corporate Director		 Nov 1, 2010
Jan 1, 2008
Newark Community Health Centers IncOrange, NJ, CCN 311887 Federally qualified health center Corporate Officer Nov 1, 2010
Newark Community Health Centers IncNewark, NJ, CCN 311820 Federally qualified health center Corporate Director Jan 1, 2015
Newark Community Health Centers IncEast Orange, NJ, CCN 311821 Federally qualified health center Corporate Officer Nov 1, 2010
Ironbound Medical & Dental CenterNewark, NJ, CCN 311932 Federally qualified health center Corporate Officer
Other		 Jan 1, 2015
Feb 1, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1083760441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MONTROSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792416",
            "telephone_number": "973-926-6761",
            "fax_number": "973-923-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE",
            "address_2": "403",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403726",
            "telephone_number": "973-761-6761",
            "fax_number": "973-761-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEY",
        "first_name": "OMAR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA45212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.