BETH IZREAL MEDICAL CENTER


Address: 132 W 125th St, 6th Floor, New York, NY 10027-4439
Phone: 2128640904

BETH IZREAL MEDICAL CENTER (NPI# 1740586643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740586643
Entity Type Organization
Organization Name BETH IZREAL MEDICAL CENTER
Practice Address 132 W 125th St
6th Floor
New York
NY 10027-4439
Practice Telephone 2128640904
Practice Fax Number 2128656128
Mailing Telephone 2128640904
Mailing Fax Number 2128656128
Enumeration Date 2011-02-10
Last Update Date 2011-02-10
Authorized Official Name DR. RANDY SEWALD (MEDICAL DIRECTOR)
Authorized Official Telephone 2122562573
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
2511501 NY Ambulatory Health Care Facilities

Office Location

Street Address 132 W 125TH ST
6TH FLOOR
City NEW YORK
State NY
Zip Code 10027-4439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437372992 Beth Israel Medical Center General Acute Care Hospital 132 W 125th St, 6th Floor, New York, NY 10027-4439 2007-04-11
1386954345 Joanne Celeste Ellison Physician Assistant 132 W 125th St, New York, NY 10027-4439 2010-10-08
1568792158 Abigail Strubel Social Worker 132 W 125th St, New York, NY 10027-4439 2010-01-05
1174773501 James B. Daffin Physician Assistant 132 W 125th St, 6th Floor, New York, NY 10027-4439 2008-09-23

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1023616356 Nathan Light Dentist M Dental Care PC, 337 Lenox Ave, New York, NY 10027 2020-10-09
1720691199 Mohamad El Zein Student in an Organized Health Care Education/Training Program 281 West 132nd Street, App Nb 2, New York, NY 10027 2020-08-26
1194335893 Cynthia Wiggins Social Worker 1255 Amsterdam Avenue, New York, NY 10027 2020-08-06
1497399877 Dr. F Sanchez Dental Arts Pllc Dentist 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 2019-10-29
1588214357 Advanced Dermatology of New York PC Dermatology 1-3 West 125th Street, New York, NY 10027 2019-09-13
1396216818 Gissel Lopez Licensed Practical Nurse 119west 124th Street, New York, NY 10027 2018-12-10
1831660620 Katherine Gonzalez Licensed Practical Nurse 119 121 W 124th Street, New York, NY 10027 2018-12-06
1003383456 Ebony S Prescott Specialist 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 2018-10-24
1619456589 Arts of Optics Corp. Optometrist 200 W 125th St, New York, NY 10027 2018-08-10
1205355658 Frederick Community Pharmacy Inc Pharmacy 2450 Frederick Douglas Blvd, New York, NY 10027 2017-09-18
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770951204 Beth Israel Medical Center Clinic/Center 160 Water St Fl 24, New York, NY 10038-4922 2015-09-15
1427125632 Ses Operating Corp Clinic/Center 2367 -69 Second Ave, New York, NY 10035-3108 2006-11-30
1396843967 Gramaercy Park Medical Group Clinic/Center 253 3rd Ave # 55, New York, NY 10010-7401 2006-09-20
1679050116 Nancy Arroyo Clinic/Center 311 W 35th St, New York, NY 10001-1701 2018-07-27
1780047704 West Midtown Medical Clinic/Center 311 W 35th St, 2nd Floor, New York, NY 10001-1701 2016-03-29
1356714885 Felicia Robinson Clinic/Center 311 W 35th St, 2nd, New York, NY 10001-1701 2015-11-05
1073986501 Melody Madero Clinic/Center 311 W 35th St, 2nd Floor, New York, NY 10001-1701 2015-11-05
1154767010 Harlem East Life Plan Clinic/Center 2369 2nd Ave, New York, NY 10035-3108 2013-05-20
1366789158 Lafayette Medical Approach LLC Clinic/Center 233 Lafayette St, Ground Floor, New York, NY 10012-4051 2013-01-14
1427348804 Massimo Degiarde, Mdpc Clinic/Center 233 Lafayette St, New York, NY 10012-4051 2011-04-19
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Competitor

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City NEW YORK
Zip Code 10027

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Dataset Information

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.

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