NEWARK BETH ISRAEL MEDICAL CENTER INC (NPI# 1447405253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447405253 |
| Entity Type | Organization |
| Organization Name | NEWARK BETH ISRAEL MEDICAL CENTER INC |
| Other Organization Name | NBIMC REGIONAL DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
166 Lyons Ave Newark NJ 07112-2016 |
| Practice Telephone | 7325577119 |
| Practice Fax Number | 7325577119 |
| Mailing Telephone | 7325577119 |
| Mailing Fax Number | 7325577119 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Authorized Official Name | GALINA BEGUN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7325577119 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWARK BETH ISRAEL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0051888 | 05 |
| Other Name | Type Code |
|---|---|
| NBIMC Regional Diagnostic and Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043457955 | Newark Beth Israel Medical Center Inc | Psychiatric Unit | 201 Lyons Ave, Newark, NJ 07112-2027 | 2009-01-14 |
| 1215027966 | Newark Beth Israel Medical Center Inc | Psychiatric Unit | 201 Lyons Ave, Newark, NJ 07112 | 2006-10-13 |
| 1033210323 | Newark Beth Israel Medical Center Inc | General Acute Care Hospital | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-09-26 |
| Street Address |
166 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521225 | Nbimc Family Health Center | Obstetrics & Gynecology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-05-03 |
| 1407310329 | University Health Professions | Physician Assistant | 166 Lyons Ave, Newark, NJ 07112-2016 | 2019-01-24 |
| 1114441102 | Joshua D Oderanti | Nurse Practitioner | 166 Lyons Ave, Newark, NJ 07112-2016 | 2017-08-01 |
| 1902340953 | Navya Kuchipudi | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112 | 2016-12-10 |
| 1891181525 | Angie Buttigieg | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-04-09 |
| 1033503057 | Sarah Stites | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-03-27 |
| 1013223650 | Karen S. Basedow | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2010-08-20 |
| 1609012525 | Nudrat F Ayub Md LLC | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-12-23 |
| 1962524975 | Khalid Zuhayr Tabbarah | Psychiatry & Neurology | 166 Lyons Ave, Fhc/ground Floor, Newark, NJ 07112-2016 | 2007-04-03 |
| 1942346820 | Beth Faye Coplan | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641782 | Barbara Belford, Phd, Inc | Psychologist | 314 E Main St Ste 104, Newark, DE 19711-7180 | 2020-05-18 |
| 1932754595 | Psychological Services P.a. | Psychologist | 850 Library Ave Ste 104, Newark, DE 19711-7170 | 2019-08-09 |
| 1619486750 | Ruth Robinson-nelson | Psychologist | 300 Creek View Rd Ste 101, Newark, DE 19711-8547 | 2017-09-20 |
| 1558722926 | Psychological Consulting Services | Psychologist | 182 Van Buren St, Newark, NJ 07105-2638 | 2016-03-14 |
| 1821423492 | Kathleen J. Cherry | Psychologist | 218 Cullen Way, Newark, DE 19711-6112 | 2013-09-13 |
| 1609127638 | Robin O. Belcher-timme | Psychologist | F-52 Omega Drive, Newark, DE 19713 | 2012-10-01 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1508038035 | Jeffrie J Silverberg | Psychologist | 303 Shisler Ct, Newark, DE 19702-1341 | 2008-03-25 |
| 1851594394 | Susan Kathleen Lynch | Psychologist | 15 Chestnut Hill Road, 19, Newark, DE 19713 | 2007-06-11 |
| 1306069414 | Tell Psychological Services, LLC | Psychologist | 1794 Sutton Pl, Newark, OH 43055-9093 | 2007-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.