DR. CHESTER JOHN RENKUN (NPI# 1154594414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154594414 |
| Entity Type | Individual |
| Full Name | DR. CHESTER JOHN RENKUN |
| Practice Address |
32 N 32nd Ave Longport NJ 08403-1524 |
| Mailing Address |
Po Box 458 Longport NJ 08403-0458 |
| Practice Telephone | 6098233240 |
| Mailing Telephone | 6098233240 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA02160900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
32 N 32ND AVE |
| City | LONGPORT |
| State | NJ |
| Zip Code | 08403-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736823 | Concetta Marie Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699046151 | Natalie Yolanda Stacchini | Clinical Nurse Specialist | 102 N Evergreen Avenue, Longport, NJ 08403 | 2012-01-14 |
| 1346448628 | Rosalie Marie Albergo | Pharmacist | 1603 Atlantic Ave, Longport, NJ 08403-1001 | 2007-07-06 |
| 1174929822 | Nicole Dowell | Occupational Therapist | 1600 Atlantic Ave Apt 48, Longport, NJ 08403-1065 | 2014-11-07 |
| 1154481232 | Dr. Alfred J. Iezzi Jr. PC | Podiatrist | 3101 Sunset Ave, Longport, NJ 08403-1436 | 2006-12-11 |
| 1427197045 | Diane Jannotta | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2007-02-06 |
| 1942643499 | Quality Surgical Assisting Limited Liability Company | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174929822 | Nicole Dowell | Occupational Therapist | 1600 Atlantic Ave Apt 48, Longport, NJ 08403-1065 | 2014-11-07 |
| 1699046151 | Natalie Yolanda Stacchini | Clinical Nurse Specialist | 102 N Evergreen Avenue, Longport, NJ 08403 | 2012-01-14 |
| 1346448628 | Rosalie Marie Albergo | Pharmacist | 1603 Atlantic Ave, Longport, NJ 08403-1001 | 2007-07-06 |
| 1427197045 | Diane Jannotta | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2007-02-06 |
| 1154481232 | Dr. Alfred J. Iezzi Jr. PC | Podiatrist | 3101 Sunset Ave, Longport, NJ 08403-1436 | 2006-12-11 |
| 1942643499 | Quality Surgical Assisting Limited Liability Company | Registered Nurse | 115 N 34th Ave, Longport, NJ 08403-1622 | 2013-04-15 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736823 | Concetta Marie Renkun | Pediatrics | 32 N 32nd Ave, Longport, NJ 08403-1524 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
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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.