| Newark Beth Israel Medical Center | |
|
201 Lyons Ave Newark NJ 07112-2027 | |
| (973) 926-7000 | |
| (973) 926-8371 |
| Full Name | Newark Beth Israel Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 201 Lyons Ave, Newark, New Jersey |
| Authorized Official Name and Position | Darrell Terry (CEO) |
| Authorized Official Contact | 9239267850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Beth Israel Medical Center 201 Lyons Ave Newark NJ 07112-2027 Ph: (732) 923-5000 | Newark Beth Israel Medical Center 201 Lyons Ave Newark NJ 07112-2027 Ph: (973) 926-7000 |
| NPI Number | 1043457955 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 3173437464 |
|---|---|
| Medicare Enrollment ID | O20210525002724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043457955 | NPI | - | NPPES |
| 4135008 | Medicaid | NJ |
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