JEWISH RENAISSANCE MEDICAL CENTER, INC. (NPI# 1710199468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710199468 |
| Entity Type | Organization |
| Organization Name | JEWISH RENAISSANCE MEDICAL CENTER, INC. |
| Practice Address |
80 Johnson Ave Newark NJ 07108-2729 |
| Mailing Address |
Po Box 1220 Perth Amboy NJ 08862-1220 |
| Practice Telephone | 9736238592 |
| Mailing Telephone | 7323766635 |
| Mailing Fax Number | 7323245765 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MARK ROBERTS (CEO) |
| Authorized Official Telephone | 7323766601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
23975 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8932603 | 05 | |
| NJ | 0751103 | 05 | |
| NJ | 8462500 | 05 | |
| NJ | 0115045 | 05 | |
| NJ | 0097918 | 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 |
| 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 |
| 1225240997 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861 | 2007-05-04 |
| Street Address |
80 JOHNSON AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07108-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912262148 | Stacy Douglas Smith | Specialist/Technologist | 80 Johnson Ave, Shabazz, Newark, NJ 07108 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1225579857 | Q and K Home Care Services Limited Liability Company | Community Health Worker | 191 Milford Avenue, Newark, NJ 07108 | 2017-03-15 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1952739435 | Unity Global Agency LLC | Home Health | 634 Clinton Avenue, 304, Newark, NJ 07108 | 2013-10-22 |
| 1598996704 | Best Interest Homecare | Chore Provider | 155 1/2d Avon Ave., Newark, NJ 07108 | 2009-08-05 |
| 1790840130 | Rose Garden Nutrition Inc | Pharmacy | 22 Elizabeth Ave, Suite 100, Newark, NJ 07108 | 2006-12-26 |
| 1053494187 | Colden Douglas Raines Jr. | Dentist | 603 Clinton Ave, Newark, NJ 07108 | 2006-10-23 |
| Find all providers in zip 07108 | ||||
| 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 |
|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| 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 |
| 1548431091 | Newark Community Health Centers,inc. | Clinic/Center | 982 Broad St, Newark, NJ 07102-2503 | 2008-03-12 |
| 1619148160 | Newark Community Health Centers,inc. | Clinic/Center | 516 Bergen St, Newark, NJ 07108-1639 | 2008-03-12 |
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1710475322 | Rutgers Nursing Faculty Practice | Clinic/Center | 449 Broad St, Newark, NJ 07102-3224 | 2018-04-30 |
| 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.