Active NPI
Newark Beth Israel Medical Center
- General Acute Care Hospital
- Newark, NJ
National Provider Identifier
1689983652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 26NJ00272500
- Legal business name
- NEWARK BETH ISRAEL MEDICAL CENTER
- Practice address
- 201 Lyons Ave
Newark, NJ 07112-2027 - Phone
- (973) 926-7320
- NPI assigned
- Sep 24, 2010
- Last updated
- Oct 1, 2010
- 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. Carol Lee Bacon, MSN
- Title
- Advanced Nurse Practitioner
- Phone
- (973) 926-7320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 26NJ00272500 | NJ | Primary |
Addresses
Primary practice location
201 Lyons Ave
Newark, NJ 07112-2027
Mailing address
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acute Care Nurse Practitioner
- Newark, NJ
- NPI 1912340662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285891200000",
"number": "1689983652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-7320"
},
{
"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": "973-926-7320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWARK BETH ISRAEL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2010-10-01",
"status": "A",
"authorized_official_last_name": "BACON",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ADVANCED NURSE PRACTITIONER",
"authorized_official_telephone_number": "973-926-7320",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "26NJ00272500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
- Newark Beth Israel Emergency Room Department
- Newark Beth Israel Hospital
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
- Newark Beth Israel Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.