Active NPI
Jay R Newmark, MD
- Urology Physician
- Chicago, IL
National Provider Identifier
1790770667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Practice address
- 2800 N Sheridan Rd
Suite 302
Chicago, IL 60657-6156 - Phone
- (773) 929-2386
- Fax
- (773) 929-8739
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | IL | Primary |
Addresses
Primary practice location
2800 N Sheridan Rd
Suite 302
Chicago, IL 60657-6156
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36270304101 | Other | IL | ADVOCATE HLTH CENTERS ID |
| 631004 | Other | IL | ADVOCATE HLTH PARTNERS ID |
| 01604990 | Other | IL | BCBS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J Young M D P C | Urology | Past | Accepting new patients |
| Jay R Newmark M D S C | Urology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Chicago, IL
- NPI 1396819439
-
- Urology Physician
- Chicago, IL
- NPI 1508911942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1790770667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N SHERIDAN RD",
"address_2": "SUITE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576156",
"telephone_number": "773-929-2386",
"fax_number": "773-929-8739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMARK",
"first_name": "JAY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HLTH CENTERS ID",
"identifier": "36270304101",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HLTH PARTNERS ID",
"identifier": "631004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "01604990",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.