Beth Israel Hospital Association

Organization Active NPI General Acute Care Hospital · Passaic, NJ

NPI 1164528634 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1164528634
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
11604 (NJ)
Legal business name
BETH ISRAEL HOSPITAL ASSOCIATION
Practice address
350 Boulevard
Passaic, NJ 07055-2840
Phone
(973) 365-4300
NPI assigned
Sep 15, 2006
Organization subpart
No

Authorized official

Name
Mr. Daniel K Willis
Title
Director Manged Care
Phone
(973) 365-4556

National Provider Directory

Locations

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11604 NJ Yes

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Other identifiers

IdentifierTypeStateIssuer
4136501MedicaidNJ

Other names

  • PBI Regional Medical Center Doing business as

Other providers in Passaic, NJ

All providers in Passaic, NJ · General Acute Care Hospital in New Jersey

Sources for this page

Verify at the official NPI Registry.