Active NPIIndividual provider

Dr. Nyan A Bethel, MD

Internal Medicine, Critical Care Medicine in Newark, New Jersey

NPI Number1427629732
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
April 14, 2026

Nyan Antonia Bethel is an Internal Medicine, Critical Care Medicine based in Newark, NJ. Nyan Antonia Bethel practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Nyan Antonia Bethel is 1427629732 and holds a License No. 52665 (AL). The current practice location address for Nyan Antonia Bethel is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5465.

Provider Profile Details

NPI Number
1427629732
Provider Name
Nyan Antonia Bethel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5465
Primary Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2021
Last Update Date
April 14, 2026
Certification Date
April 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5465
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
95 Beech St
East Orange, NJ 07018-3006
City
East Orange
State
NJ
Zip
07018-3006
Phone Number
908-230-2678

License Information

License Number
52665
License State
AL
Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nyan A Bethel, MD?

The NPI number of Dr. Nyan A Bethel, MD is 1427629732. It was assigned on July 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Nyan A Bethel, MD?

Dr. Nyan A Bethel, MD is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in AL under license number 52665.

Where does Dr. Nyan A Bethel, MD practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5465 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427629732 directly on the NPPES registry website.

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