JAY R NEWMARK M D S C NPI 1396819439

NPI Information

  • NPI: 1396819439
  • Provider Name: JAY R NEWMARK M D S C
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 2800 N SHERIDAN RD
    #302
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 929-2386

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NPI Details

JAY R NEWMARK M D S C is an urology in Chicago, IL. The provider is 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. JAY R NEWMARK M D S C NPI is 1396819439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 N SHERIDAN RD
#302
CHICAGO, IL
ZIP 60657-156
Phone: (773) 929-2386
Fax: (773) 929-8739

The provider's authorized official is Jay Newmark .
The authorized official title is Sole Proprietor and has the following contact phone number (773) 929-2386.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CF2037MEDICARE PINILLINOIS
2792940MEDICARE PINILLINOIS
3CF2037OTHERILLINOISRAILROAD MEDICARE
4631004OTHERILLINOISADVOCATE HLTH PARTNERS ID
501604990OTHERILLINOISBCBS PROVIDER ID
6=========01OTHERILLINOISADVOCATE HLTH CENTERS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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