Active NPIIndividual provider

Dr. Omar D Bennett, MD

Emergency Medicine in Newark, New Jersey

NPI Number1770311052
Practice location
150 Bergen Street, Newark, Newark, NJ 07103
Fax
—
Last updated
July 26, 2024

Omar Dian Bennett is an Emergency Medicine based in Newark, NJ. Omar Dian Bennett practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Omar Dian Bennett is 1770311052 and holds a License No. 00000000 (NJ). The current practice location address for Omar Dian Bennett is 150 Bergen Street, Newark, Newark, NJ 07103 and can be reached out via phone at 973-972-4300.

Provider Profile Details

NPI Number
1770311052
Provider Name
Omar Dian Bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen Street, Newark, Newark, NJ 07103
Phone Number
973-972-4300
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2024
Last Update Date
July 26, 2024
Certification Date
July 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen Street
Newark
Newark, NJ 07103
City
Newark
Zip
07103
Phone Number
973-972-4300
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
353 S Center St Apt 16B
Orange, NJ 07050-3367
City
Orange
State
NJ
Zip
07050-3367
Phone Number
347-338-7113

License Information

License Number
00000000
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · 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. Omar D Bennett, MD?

The NPI number of Dr. Omar D Bennett, MD is 1770311052. It was assigned on July 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Omar D Bennett, MD?

Dr. Omar D Bennett, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 00000000.

Where does Dr. Omar D Bennett, MD practice?

The practice location is 150 Bergen Street, Newark, Newark, NJ 07103. The office can be reached at 973-972-4300 (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 1770311052 directly on the NPPES registry website.

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