Active NPI
Nbimc Department of Internal
- Internal Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NBIMC DEPARTMENT OF INTERNAL
- Practice address
- 201 Lyons Ave
Newark, NJ 07112-2027 - Phone
- (973) 926-7472
- Fax
- (973) 923-8063
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yasmir Bisal
- Title
- Director
- Phone
- (732) 557-7119
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Gastroenterology Physician | 207RG0100X | |||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
201 Lyons Ave
Newark, NJ 07112-2027
Mailing address
PO Box 18491
Newark, NJ 07191-8491
Phone (732) 557-7119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7861702 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
Member Of
Locations
201 Lyons Ave
#C4
Newark, NJ 07112
Phone (973) 926-7000
201 Lyons Ave
Ste C4
Newark, NJ 07112
166 Lyons Ave
Ste 1302
Newark, NJ 07112
201 Lyons Ave
#F4
Newark, NJ 07112
Phone (973) 926-7331
1433 Hooper Ave
Ste 110
Toms River, NJ 08753
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Houston, TX
- NPI 1871532861
-
- Internal Medicine Physician
- Norwich, CT
- NPI 1225140650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1114985702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18491",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071918491",
"telephone_number": "732-557-7119",
"fax_number": "732-557-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-7472",
"fax_number": "973-923-8063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NBIMC DEPARTMENT OF INTERNAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "BISAL",
"authorized_official_first_name": "YASMIR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-557-7119",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7861702",
"state": "NJ"
}
],
"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 Jan 23, 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.