Jewish Renaissance Medical Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Newark, New Jersey
1811109572- Practice location
- 90 Parker St, Newark, NJ 07104-1028
- Phone
- 973-497-5773
- Fax
- —
- Last updated
- October 20, 2009
Jewish Renaissance Medical Center, INC. is a healthcare organization based in Newark, NJ. Jewish Renaissance Medical Center, INC. practices in Newark, NJ. The NPI Number for Jewish Renaissance Medical Center, INC. is 1811109572 and holds a License No. 23973 (NJ). The current practice location address for Jewish Renaissance Medical Center, INC. is 90 Parker St, Newark, NJ 07104-1028 and can be reached out via phone at 973-497-5773.
Provider Profile Details
- NPI Number
- 1811109572
- Provider Name
- Jewish Renaissance Medical Center, INC.
- Provider Entity Type
- Organization
- Address
- 90 Parker St, Newark, NJ 07104-1028
- Phone Number
- 973-497-5773
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Mark Roberts · Ceo · 732-376-6601
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- October 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Parker St
Newark, NJ 07104-1028 - City
- Newark
- State
- New Jersey
- Zip
- 07104-1028
- Phone Number
- 973-497-5773
Provider Business Mailing Address Details
- Address
- Po Box 1220
Perth Amboy, NJ 08862-1220 - City
- Perth Amboy
- State
- NJ
- Zip
- 08862-1220
- Phone Number
- 732-376-6601
- Fax Number
- 732-324-5765
License Information
- License Number
- 23973
- License State
- NJ
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jewish Renaissance Medical Center, INC.?
The NPI number of Jewish Renaissance Medical Center, INC. is 1811109572. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Jewish Renaissance Medical Center, INC.?
Jewish Renaissance Medical Center, INC. is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in NJ under license number 23973.
Where does Jewish Renaissance Medical Center, INC. practice?
The practice location is 90 Parker St, Newark, NJ 07104-1028. The office can be reached at 973-497-5773 (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 1811109572 directly on the NPPES registry website.