NPIMap

Organization Active NPI

Beth Israel Medical Center

Doing business as Beth Israel Hospital Clinic Lab

  • Clinical Medical Laboratory
  • Suite 12S34, NY
National Provider Identifier
1699798934
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BETH ISRAEL MEDICAL CENTER
Doing business as
Beth Israel Hospital Clinic Lab
Practice address
10 Nathan D Perlman Place
Suite 12S34, NY 10003-3851
Phone
(212) 420-2124
Fax
(212) 420-3449
NPI assigned
Jul 26, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BETH ISRAEL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Bruce Wenig, MD
Title
Chairman
Phone
(212) 420-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

10 Nathan D Perlman Place
Suite 12S34, NY 10003-3851

Mailing address

1900 Hempstead Turnpike
Suite 500
East Meadow, NY 11554-1724
Phone (516) 542-1090

Other identifiers 2

IdentifierTypeStateIssuer
33D0667624OtherNYCLIA
02985073MedicaidNY

Other names 1

  • Beth Israel Hospital Clinic Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael F Gioscia MD26 organizations share this tax ID, including this one
Part of
Michael F Gioscia MD

Other organizations with this tax ID 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1699798934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HEMPSTEAD TURNPIKE",
            "address_2": "SUITE 500",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541724",
            "telephone_number": "516-542-1090",
            "fax_number": "516-794-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NATHAN D PERLMAN PLACE",
            "city": "SUITE 12S34",
            "state": "NY",
            "postal_code": "100033851",
            "telephone_number": "212-420-2124",
            "fax_number": "212-420-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETH ISRAEL MEDICAL CENTER",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "WENIG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "212-420-2124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D0667624",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02985073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Israel Hospital Clinic Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.