RENAISSANCE HEALTH CARE NETWORK (NPI# 1154482263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154482263 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTH CARE NETWORK |
| Practice Address |
215 W 125th St New York NY 10027-4426 |
| Practice Telephone | 2129326500 |
| Practice Fax Number | 2123161479 |
| Mailing Telephone | 2129326500 |
| Mailing Fax Number | 2123161479 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ARTURO CAESAR (ASSOC MED DIRECTOR) |
| Authorized Official Telephone | 2129326500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
112967 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00204715 | 05 |
| Street Address |
215 W 125TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417994922 | Ina Itzkovitz | Internal Medicine | 215 W 125th St, New York, NY 10027-4426 | 2006-06-01 |
| 1689202020 | Alma Ditren | Health Educator | 215 W 125th St, New York, NY 10027-4426 | 2020-03-31 |
| 1891340105 | Berit Erickson | Nurse Practitioner | 215 W 125th St, New York, NY 10027-4426 | 2019-08-04 |
| 1710360755 | Ariel Frank | Registered Nurse | 215 W 125th St, New York, NY 10027-4426 | 2015-07-08 |
| 1457607517 | Sarah Lee | Nurse Practitioner | 215 W 125th St, Suite 100a, New York, NY 10027-4426 | 2012-07-26 |
| 1003106444 | Jason Charles Snyder | Podiatrist | 215 W 125th St, 2nd Floor, New York, NY 10027-4426 | 2011-04-18 |
| 1811211378 | Mona Lm Gergis | Pharmacist | 215 W 125th St, New York, NY 10027-4426 | 2010-03-26 |
| 1780807206 | Miriam Fuhrman | Ophthalmology | 215 W 125th St, New York, NY 10027-4426 | 2007-04-11 |
| 1295876712 | Ivor Bernard Bharat | Physician Assistant | 215 W 125th St, 2nd Floor, New York, NY 10027-4426 | 2007-02-08 |
| 1417097635 | Nikerl-ange Cadet | Physician Assistant | 215 W 125th St, 2nd Floor, New York, NY 10027-4426 | 2007-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265978365 | Jin Qiu Md PC | Clinic/Center | 141 E 55th St Apt 4c, Apt 4c, New York, NY 10022-4050 | 2017-01-12 |
| 1588112031 | Babak Tofighi, Md | Clinic/Center | 229 E 28th St, Apt 1b, New York, NY 10016-8507 | 2016-09-13 |
| 1699172551 | Win Medical Services,pc | Clinic/Center | 98 E Broadway # 501, New York, NY 10002-7181 | 2014-11-20 |
| 1023446978 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 1 Madison Ave # Level2b, New York, NY 10010-3603 | 2013-10-30 |
| 1114290012 | Myron I Buchman Mdpcv | Clinic/Center | 117 East 72nd St, New York, NY 10021 | 2012-02-23 |
| 1225308570 | Zov Medical Pllc | Clinic/Center | 116 E 63rd St, 1a, New York, NY 10065-7325 | 2012-01-04 |
| 1649576729 | New York Patientfirst Medical and Geriatric Quality Health Services | Clinic/Center | 41 Mott St Fl 5, New York, NY 10013-5041 | 2011-02-07 |
| 1881922821 | New York-presbyterian Hospital | Clinic/Center | 622 W. 168th St, Vc401, New York-presbyterian Hospital, New York, NY 10032 | 2009-12-03 |
| 1851554851 | Village Health Care Clinic | Clinic/Center | 121 A West 20th St, Village Diagnostic and Treatment Center, New York, NY 10011 | 2008-07-09 |
| 1609060367 | Mmc At American Red Cross Family Shelter Icahn East | Clinic/Center | 4 East 28th Street, Mmc At American Red Cross Family Shelter Icahn East, New York, NY 10016-7402 | 2007-09-05 |
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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.