PROJECT RENEWAL INC (NPI# 1720520083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720520083 |
| Entity Type | Organization |
| Organization Name | PROJECT RENEWAL INC |
| Practice Address |
651 W 168th St New York NY 10032-3703 |
| Mailing Address |
200 Varick St 9th Floor New York NY 10014-4810 |
| Practice Telephone | 2127401780 |
| Mailing Telephone | 2126200340 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | MR. MITCHELL NETBURN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2126200340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7002161R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01921402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598770018 | Project Renewal Inc | Clinic/Center | 200 Varick St, New York, NY 10014-4810 | 2006-07-31 |
| 1992247571 | Project Renewal Inc | Clinic/Center | 8 E 3rd St, New York, NY 10003-8908 | 2016-11-14 |
| 1275075020 | Project Renewal Inc | Clinic/Center | 225 E 45th St, New York, NY 10017-3301 | 2016-11-10 |
| 1629220108 | Project Renewal Inc | Clinic/Center | 8 E 3rd St, New York, NY 10003-8908 | 2008-10-16 |
| Street Address |
651 W 168TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063512788 | Hamad Cornell Skinner | Dentist | 651 W 168th St, New York, NY 10032-3703 | 2006-09-23 |
| 1194216754 | Robin Jill Kahan-berman | Occupational Therapist | 651 W 168th St, New York, NY 10032-3703 | 2018-05-19 |
| 1770894198 | Raj Chablani | Psychiatry & Neurology | 651 W 168th St, New York, NY 10032-3703 | 2010-06-30 |
| 1457577157 | Sheila Judy Linz | Nurse Practitioner | 651 W 168th St, New York, NY 10032-3703 | 2007-04-18 |
| 1639249741 | Daniel Weiss | Psychiatry & Neurology | 651 W 168th St, New York, NY 10032-3703 | 2006-11-08 |
| 1174616056 | Monica Hale | Dental Hygienist | 651 W 168th St, New York, NY 10032-3703 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1922475235 | Odyssey Health Services | Clinic/Center | 219 E 121 St, New York, NY 10035 | 2015-08-24 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1972913473 | Community Health Project Inc. | Clinic/Center | 230 W 17th Sreet, New York, NY 10011-5325 | 2014-05-06 |
| 1053588988 | Under 21 | Clinic/Center | 460 W 41st, New York, NY 10036 | 2008-05-09 |
| 1609897453 | Betances Health Center | Clinic/Center | 280 Henry St., Betances Health Center, New York, NY 10002-4816 | 2006-07-21 |
| 1588691828 | William F. Ryan Community Health Center Inc | Clinic/Center | 279 E 3rd St, New York, NY 10009 | 2006-06-26 |
| Find all providers in NEW YORK | ||||
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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.