Active NPI
Beth Israel Medical Center
- Methadone Clinic
- New York, NY
National Provider Identifier
1174772479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 000569
- Legal business name
- BETH ISRAEL MEDICAL CENTER
- Practice address
- 160 Water St
New York, NY 10038-4922 - Phone
- (212) 256-2602
- Fax
- (212) 256-2609
- NPI assigned
- Sep 11, 2008
- 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
- Dr. Randy Michelle Seewald, MD
- Title
- Medical Director
- Phone
- (212) 256-2573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 000569 | NY | Primary |
Addresses
Primary practice location
160 Water St
New York, NY 10038-4922
Mailing address
160 Water St
New York, NY 10038-4922
Phone (212) 256-2602
National Provider Directory
National Provider Directory- Tax ID family
- Sarah H Beaton
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1174772479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-2602",
"fax_number": "212-256-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WATER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-2602",
"fax_number": "212-256-2609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH ISRAEL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "SEEWALD",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "212-256-2573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NY",
"license": "000569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.