JEWISH RENAISSANCE MEDICAL CENTER, INC. (NPI# 1225240997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225240997 |
| Entity Type | Organization |
| Organization Name | JEWISH RENAISSANCE MEDICAL CENTER, INC. |
| Practice Address |
275 Hobart St Perth Amboy NJ 08861 |
| Mailing Address |
Po Box 1220 Perth Amboy NJ 08862-1220 |
| Practice Telephone | 7323766615 |
| Mailing Telephone | 7323766615 |
| Mailing Fax Number | 7323245765 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | MARTA FERREIRA (DIRECTOR OF HR) |
| Authorized Official Telephone | 7323766615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
23977 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0481491 | 05 | |
| NJ | 0428396 | 05 | |
| NJ | 0404268 | 05 | |
| NJ | 0097811 | 05 | |
| NJ | 0097837 | 05 | |
| NJ | 0097918 | 05 | |
| NJ | 0207161 | 05 | |
| NJ | 8751404 | 05 | |
| NJ | 0284351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
| 1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
| 1982087607 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 359 13th Ave, Newark, NJ 07103-2125 | 2015-06-30 |
| 1710304563 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2014-03-18 |
| 1598090292 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Mobile Unit, Perth Amboy, NJ 08861-4310 | 2009-10-14 |
| 1225240971 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 226 Dayton St, Newark, NJ 07114-1159 | 2007-05-04 |
| 1811109572 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 90 Parker St, Newark, NJ 07104-1028 | 2007-05-04 |
| 1124230883 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 21 Quitman St, Newark, NJ 07103-4105 | 2007-05-04 |
| Street Address |
275 HOBART ST |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952378135 | Yasmeen Z Nazli | Obstetrics & Gynecology | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2006-03-07 |
| 1568082071 | Alvaro Garcia | Emergency Medicine | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2020-04-24 |
| 1245880152 | Heather Daniels | Nurse Practitioner | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2019-09-13 |
| 1558910190 | Mayra Martinez | Dental Hygienist | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2019-09-06 |
| 1013572320 | Tylene Williams | Nurse Practitioner | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2019-05-02 |
| 1104392562 | Rosalie Bencosme | Licensed Practical Nurse | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-10-23 |
| 1285100297 | Susan T Riley | Nurse Practitioner | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-10-17 |
| 1538642848 | Claribel Quiles | Registered Nurse | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-09-12 |
| 1134605082 | Linda Peloquin | Registered Nurse | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-07-13 |
| 1043706898 | Alana Cueto | Registered Nurse | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304563 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2014-03-18 |
| 1598090292 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Mobile Unit, Perth Amboy, NJ 08861-4310 | 2009-10-14 |
| 1306891791 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861-4310 | 2006-05-23 |
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|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1780148395 | Horizon Health Center, Inc. | Clinic/Center | 55 Meadowlands Pkwy Ste 200, Secaucus, NJ 07094-2977 | 2019-01-28 |
| 1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
| 1447746862 | Project H.o.p.e., Inc. | Clinic/Center | 1494 Federal St, Camden, NJ 08105-1753 | 2018-07-09 |
| 1194226373 | Ocean Health Initiatives, Inc. | Clinic/Center | 20 Jackson St Ste E, Freehold, NJ 07728-2476 | 2018-02-23 |
| 1033653860 | Project H.o.p.e., Inc. | Clinic/Center | 1514 Federal St, Camden, NJ 08105-1712 | 2016-12-13 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| Find all providers with the same taxonomy | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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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.