JEWISH RENAISSANCE MEDICAL CENTER, INC.


Address: 120 Manchester Pl, Newark, NJ 07104-1704
Phone: 9736797709

JEWISH RENAISSANCE MEDICAL CENTER, INC. (NPI# 1932512092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932512092
Entity Type Organization
Organization Name JEWISH RENAISSANCE MEDICAL CENTER, INC.
Other Organization Name NORTH WARD PARK ELEMENTARY
Practice Address 120 Manchester Pl
Newark
NJ 07104-1704
Mailing Address Po Box 1220
Attn: Credentialing/hr
Perth Amboy
NJ 08862-1220
Practice Telephone 9736797709
Practice Fax Number 7323245765
Mailing Telephone 7323766635
Mailing Fax Number 7323245765
Enumeration Date 2014-06-06
Last Update Date 2014-06-06
Authorized Official Name MR. MARK ROBERTS (CEO)
Authorized Official Telephone 7323769333
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
24835 NJ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
North Ward Park Elementary Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1225240997 Jewish Renaissance Medical Center, Inc. Clinic/Center 275 Hobart St, Perth Amboy, NJ 08861 2007-05-04

Office Location

Street Address 120 MANCHESTER PL
City NEWARK
State NJ
Zip Code 07104-1704

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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
1710199468 Jewish Renaissance Medical Center, Inc. Clinic/Center 80 Johnson Ave, Newark, NJ 07108-2729 2007-05-04
1710475322 Rutgers Nursing Faculty Practice Clinic/Center 449 Broad St, Newark, NJ 07102-3224 2018-04-30
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Competitor

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City NEWARK
Zip Code 07104

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Dataset Information

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.

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