# BETH ISRAEL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PBI Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164528634
- **Authorized official:** MR. DANIEL K WILLIS (DIRECTOR MANGED CARE)
- **Authorized official phone:** (973) 365-4556

## Contact information

- **Practice address:** 350 BOULEVARD, PASSAIC, NJ 07055-2840
- **Practice address phone:** (973) 365-4300
- **Mailing address:** 350 BOULEVARD, PASSAIC, NJ 07055-2840
- **Mailing address phone:** (973) 365-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 11604 | NJ | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 08/22/2020