# NEWARK BETH ISRAEL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689983652
- **Authorized official:** MS. CAROL LEE BACON MSN (ADVANCED NURSE PRACTITIONER)
- **Authorized official phone:** (973) 926-7320

## Contact information

- **Practice address:** 201 LYONS AVE, NEWARK, NJ 07112-2027
- **Practice address phone:** (973) 926-7320
- **Mailing address:** 201 LYONS AVE, NEWARK, NJ 07112-2027
- **Mailing address phone:** (973) 926-7320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 26NJ00272500 | NJ | Yes |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 10/01/2010