RENAISSANCE INVALID COACH (NPI# 1346454113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346454113 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE INVALID COACH |
| Practice Address |
226 Lincoln Ave # 10 Newark NJ 07104-3452 |
| Mailing Address |
Po Box 22711 Newark NJ 07101-2711 |
| Practice Telephone | 9734970045 |
| Practice Fax Number | 9734971155 |
| Mailing Telephone | 9734970045 |
| Mailing Fax Number | 9734971155 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-07-26 |
| Authorized Official Name | MR. MOJTABA GUSEMALSEED (OWNER) |
| Authorized Official Telephone | 9734970045 |
| Authorized Official Credential | CPR, MAVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | RENA00492 | NJ | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7356501 | 05 |
| Street Address |
226 LINCOLN AVE # 10 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932665296 | Infiniti Innovative Group LLC | Non-emergency Medical Transport (VAN) | 37600 Central Ct Ste 218, Newark, CA 94560-3456 | 2019-02-12 |
| 1992289094 | Diesha Dorothy Carter | Non-emergency Medical Transport (VAN) | 810 Broadway Apt 111, Newark, NJ 07104-4316 | 2018-09-24 |
| 1750877650 | Archie Crooks | Non-emergency Medical Transport (VAN) | 804 S 12th St Fl 1, Newark, NJ 07108-1306 | 2018-07-03 |
| 1689168924 | Mujahid Abdul-hamid | Non-emergency Medical Transport (VAN) | 1004 Broad St Apt 211, Newark, NJ 07102-2538 | 2018-06-20 |
| 1457844730 | Michael Jarzynka | Non-emergency Medical Transport (VAN) | 147 Willow Ave, Newark, NY 14513-1244 | 2018-06-11 |
| 1588183362 | Michelle Thomas | Non-emergency Medical Transport (VAN) | 260 Chapman Rd Ste 201d, Newark, DE 19702-5491 | 2017-09-13 |
| 1659890622 | One Access Medical Transportation South Bay | Non-emergency Medical Transport (VAN) | 7921 Enterprise Dr Ste C, Newark, CA 94560-3460 | 2017-09-11 |
| 1619421484 | Karl A Trumble Dba Jet Karriers Transportation | Non-emergency Medical Transport (VAN) | 97 East Ave, Newark, NY 14513-1256 | 2016-08-10 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1295106938 | Brookdale Transportation LLC | Non-emergency Medical Transport (VAN) | 37 Isabella Ave, Newark, NJ 07106-2026 | 2015-10-07 |
| Find all providers in NEWARK | ||||
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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.