NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT (NPI# 1629025028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629025028 |
| Entity Type | Organization |
| Organization Name | NEWARK BETH ISRAEL EMERGENCY ROOM DEPARTMENT |
| Practice Address |
201 Lyons Avenue Newark Beth Israel Medical Center Newark NJ 07112-2094 |
| Mailing Address |
Po Box 785786 Newark Beth Israel Emergency Room Department Philadelphia PA 19178-0001 |
| Practice Telephone | 9739267000 |
| Practice Fax Number | 7325577109 |
| Mailing Telephone | 7325577160 |
| Mailing Fax Number | 7325577109 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL MERTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9739263826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
201 LYONS AVENUE NEWARK BETH ISRAEL MEDICAL CENTER |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588616460 | Patrick Blaine Hinfey | Emergency Medicine | 201 Lyons Avenue, Newark Beth Israel Medical Center, Newark, NJ 07112-2094 | 2006-05-17 |
| 1720548845 | Habiba Isa Wada | Student in an Organized Health Care Education/Training Program | 201 Lyons Avenue, C5 Administrative Office, Newark, NJ 07112 | 2019-03-24 |
| 1720547581 | Mercy Anighoro | Student in an Organized Health Care Education/Training Program | 201 Lyons Avenue, Newark, NJ 07112 | 2019-03-19 |
| 1265936827 | Gouthami Ratna Chennu | Student in an Organized Health Care Education/Training Program | 201 Lyons Avenue, Newark, NJ 07112 | 2018-03-20 |
| 1134658933 | Brian Fan Lin | Student in an Organized Health Care Education/Training Program | 201 Lyons Avenue, Newark, NJ 07112 | 2017-06-06 |
| 1801329909 | Chaitanya Anil Kumar Pal | Student in an Organized Health Care Education/Training Program | 201 Lyons Avenue, Newark, NJ 07112 | 2017-04-05 |
| 1982973731 | Zakia Dele Bowen | Internal Medicine | 201 Lyons Avenue, A6-hospitalist Office, Newark, NJ 07003 | 2011-12-23 |
| 1326289786 | Mark Joseph Russo | Specialist | 201 Lyons Avenue, Newark Beth Israel Medical Center, Newark, NJ 07112 | 2009-03-16 |
| 1639216260 | Marilyn Moore Driscoll | Dietitian, Registered | 201 Lyons Avenue, Newark, NJ 07112 | 2007-01-31 |
| 1245326131 | John Richard Matjucha | Emergency Medicine | 201 Lyons Avenue, Neward Beth Israel Medical Center, Newark, NJ 07112-2094 | 2006-10-05 |
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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 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789816 | Andrew Parrish | Emergency Medicine | 201 Lyons Avenue, Suite D11, Dept of Emergency Medicine, Newark, NJ 07112-2027 | 2014-07-31 |
| 1144638719 | Laura Rachel Fagen | Emergency Medicine | 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 | 2014-07-28 |
| 1750792883 | Kenadeed Hersi | Emergency Medicine | 30 Bergen Street Room 1110, Newark, NJ 07103 | 2014-05-12 |
| 1447479092 | William Stanley Vachon | Emergency Medicine | 4755 Ogletown Rd, Christiana Hospital, Academic Affairs - Suite 2a00, Newark, DE 19718-0001 | 2007-04-24 |
| 1811027436 | Justin Morgan | Emergency Medicine | 4755 Olgetown Stanton Road, Newark, DE 19713 | 2007-03-06 |
| 1821133257 | Christian Coletti | Emergency Medicine | Christiana Hospital C/o Academic Affairs, Suite 2a00christiana Hospital, Newark, DE 19718-0001 | 2007-02-21 |
| 1902967235 | Jenna Marie Fredette | Emergency Medicine | 4755 Oggletown Stanton Rd, Newark, DE 19718-0001 | 2006-12-12 |
| 1700947108 | Eli Morgan Zeserson | Emergency Medicine | Christiana Care Health System / Dept Emergency Med, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2006-12-12 |
| 1619043387 | Parmjit M Singh | Emergency Medicine | 5763 Stevenson Blvd, Newark, CA 94560-5301 | 2006-11-27 |
| 1912954041 | Frank Suttman Orth | Emergency Medicine | 1906 Tamarack Rd, Newark, OH 43055-2303 | 2006-05-26 |
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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.