Active NPI
Beth Isreal Medical Center
- Clinical Medical Laboratory
- New York, NY
National Provider Identifier
1689794109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- BETH ISREAL MEDICAL CENTER
- Practice address
- 10 Nathan D Perlman PL
New York, NY 10003-3851 - Phone
- (212) 420-4031
- Fax
- (212) 420-3449
- NPI assigned
- Mar 29, 2007
- Last updated
- Aug 22, 2020
- 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
- Beverly Cooper
- Title
- Admin. Mamanger
- Phone
- (212) 420-2124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NY | Primary |
Addresses
Primary practice location
10 Nathan D Perlman PL
New York, NY 10003-3851
Mailing address
10 Nathan D Perlman PL
New York, NY 10003-3851
Phone (212) 420-4031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243105 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Michael F Gioscia MD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689794109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-420-4031",
"fax_number": "212-420-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-420-4031",
"fax_number": "212-420-3449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH ISREAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "ADMIN. MAMANGER",
"authorized_official_telephone_number": "212-420-2124"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243105",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Beth Israel Medical Center
- Beth Israel Medical Center
- Beth Israel Medical Center - Professional Services
- Beth Israel Medical Center Faculty Practice
- Beth Israel Medical Center Psychiatry & Behavioral Science
- Beth Isreal Medical Center Ny
- Beth Izreal Medical Center
- Raviteja Bethamcharla, MD
- Casidhe-Nicole Ramirez Bethancourt, MD
- Bethany Medical Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.