Active NPIIndividual providerSole proprietor

Dr. Concetta M Renkun, MD

Pediatrics in Longport, New Jersey

NPI Number1578736823
Practice location
32 N 32ND Ave, Longport, NJ 08403-1524
Fax
—
Last updated
April 8, 2008

Concetta Marie Renkun is a Pediatrics based in Longport, NJ. Concetta Marie Renkun practices in Longport, NJ and has the professional credentials of MD. The NPI Number for Concetta Marie Renkun is 1578736823 and holds a License No. 25MA02161000 (NJ). The current practice location address for Concetta Marie Renkun is 32 N 32ND Ave, Longport, NJ 08403-1524 and can be reached out via phone at 609-823-3240.

Provider Profile Details

NPI Number
1578736823
Provider Name
Concetta Marie Renkun
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
32 N 32ND Ave, Longport, NJ 08403-1524
Phone Number
609-823-3240
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2008
Last Update Date
April 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 N 32ND Ave
Longport, NJ 08403-1524
Zip
08403-1524
Phone Number
609-823-3240
Longport, NJ 08403Get directions →

Provider Business Mailing Address Details

Address
Po Box 458
Longport, NJ 08403-0458
City
Longport
State
NJ
Zip
08403-0458
Phone Number
609-823-3240

License Information

License Number
25MA02161000
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Concetta M Renkun, MD?

The NPI number of Dr. Concetta M Renkun, MD is 1578736823. It was assigned on April 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Concetta M Renkun, MD?

Dr. Concetta M Renkun, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA02161000.

Where does Dr. Concetta M Renkun, MD practice?

The practice location is 32 N 32ND Ave, Longport, NJ 08403-1524. The office can be reached at 609-823-3240 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578736823 directly on the NPPES registry website.

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