Organization Active NPI

Beth Israel Medical Center

Doing business as Surgical Services of Bimc

  • Surgery Physician
  • New York, NY
National Provider Identifier
1710175963
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BETH ISRAEL MEDICAL CENTER
Doing business as
Surgical Services of Bimc
Practice address
10 Union SQ E
Suite 2P
New York, NY 10003-3314
Phone
(212) 844-8200
NPI assigned
Oct 11, 2007
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Deborah Hackett
Title
Avp
Phone
(212) 256-3424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
Surgical Critical Care Physician 2086S0102X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

10 Union SQ E
Suite 2P
New York, NY 10003-3314

Mailing address

160 Water St
20TH Floor
New York, NY 10038-4922
Phone (212) 256-3539

Other names 1

  • SURGICAL SERVICES OF BIMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beth Israel Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1710175963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 2P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "212-256-3424"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGICAL SERVICES OF BIMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 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.