NPIMap

Organization Active NPI

Newark Beth Israel Medical Center Inc

  • Psychologist
  • Newark, NJ
National Provider Identifier
1447405253
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEWARK BETH ISRAEL MEDICAL CENTER INC
Practice address
166 Lyons Ave
Newark, NJ 07112-2016
Phone
(732) 557-7119
Fax
(732) 557-7119
NPI assigned
Nov 20, 2008
Organization subpart
Yes
Parent organization
NEWARK BETH ISRAEL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Galina Begun
Title
Credentialing Manager
Phone
(732) 557-7119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

166 Lyons Ave
Newark, NJ 07112-2016

Mailing address

166 Lyons Ave
Newark, NJ 07112-2016
Phone (732) 557-7119

Other identifiers 1

IdentifierTypeStateIssuer
0051888MedicaidNJ

Other names 1

  • NBIMC Regional Diagnostic and Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nbimc Family Health Center8 organizations share this tax ID, including this one
Part of
Nbimc Family Health Center

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1447405253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122016",
            "telephone_number": "732-557-7119",
            "fax_number": "732-557-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122016",
            "telephone_number": "732-557-7119",
            "fax_number": "732-557-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK BETH ISRAEL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWARK BETH ISRAEL MEDICAL CENTER INC",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BEGUN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "732-557-7119"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051888",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NBIMC Regional Diagnostic and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 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.

Verify at the official NPI Registry.