JAY R NEWMARK (NPI# 1790770667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790770667 |
| Entity Type | Individual |
| Full Name | JAY R NEWMARK |
| Credential | MD |
| Practice Address |
2800 N Sheridan Rd Suite 302 Chicago IL 60657-6156 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 7739292386 |
| Practice Fax Number | 7739298739 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ADVOCATE HLTH PARTNERS ID | 631004 | 01 |
| IL | BCBS PROVIDER ID | 01604990 | 01 |
| IL | ADVOCATE HLTH CENTERS ID | 36270304101 | 01 |
| Street Address |
2800 N SHERIDAN RD SUITE 302 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102563 | Kevin G Murphy | Family Medicine | 2800 N Sheridan Rd, Ste 606, Chicago, IL 60657-6159 | 2005-05-27 |
| 1679096572 | Angela Dawn Mcnichols | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60640-6064 | 2017-07-23 |
| 1427585132 | Andrew Mastro | Physician Assistant | 2800 N Sheridan Rd, Suite 210, Chicago, IL 60657-6156 | 2017-05-12 |
| 1417480476 | Sheridan Counseling Group PC | Counselor | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2017-04-06 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1265881932 | Noah H Rosen Dmd, LLC | Dentist | 2800 N Sheridan Rd, Suite 204, Chicago, IL 60657-6108 | 2016-06-03 |
| 1215327101 | Platinum Medical Associates, Ltd | Internal Medicine | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2015-01-29 |
| 1669878823 | Meridian Behavioral Health Services | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60657-6156 | 2014-11-14 |
| 1659717221 | Jennifer In-hee Hur | Family Medicine | 2800 N Sheridan Rd, Suite 101, Chicago, IL 60657 | 2013-05-22 |
| 1437415668 | Elizabeth M. Gould | Nurse Practitioner | 2800 N Sheridan Rd, Suite 301, Chicago, IL 60657-6156 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| 1467878314 | Oluwarotimi Sewedo Nettey | Urology | 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 | 2014-03-14 |
| 1881957405 | Ricardo R Rios | Urology | 5600 W Addison St Ste 305, Chicago, IL 60634-4468 | 2012-06-19 |
| 1972863124 | James Wren | Urology | 675 N Saint Clair St Fl 20, Chicago, IL 60611 | 2012-05-22 |
| 1780940023 | Ryan Patrick Werntz | Urology | 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 | 2012-04-11 |
| Find all providers in CHICAGO | ||||
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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.