JEWISH RENAISSANCE MEDICAL CENTER, INC. (NPI# 1811109572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811109572 |
| Entity Type | Organization |
| Organization Name | JEWISH RENAISSANCE MEDICAL CENTER, INC. |
| Practice Address |
90 Parker St Newark NJ 07104-1028 |
| Mailing Address |
Po Box 1220 Perth Amboy NJ 08862-1220 |
| Practice Telephone | 9734975773 |
| Mailing Telephone | 7323766601 |
| Mailing Fax Number | 7323245765 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | MARK ROBERTS (CEO) |
| Authorized Official Telephone | 7323766601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
23973 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0097811 | 05 | |
| NJ | 0115045 | 05 | |
| NJ | 0751103 | 05 | |
| NJ | 8462500 | 05 | |
| NJ | 8932603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
| 1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
| 1982087607 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 359 13th Ave, Newark, NJ 07103-2125 | 2015-06-30 |
| 1710304563 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2014-03-18 |
| 1598090292 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Mobile Unit, Perth Amboy, NJ 08861-4310 | 2009-10-14 |
| 1225240971 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 226 Dayton St, Newark, NJ 07114-1159 | 2007-05-04 |
| 1124230883 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 21 Quitman St, Newark, NJ 07103-4105 | 2007-05-04 |
| 1225240997 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 275 Hobart St, Perth Amboy, NJ 08861 | 2007-05-04 |
| Street Address |
90 PARKER ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457487225 | Mark A Donetz | Specialist/Technologist | 90 Parker St, Barringer High School, Newark, NJ 07104-1028 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724554 | Saint James Health Inc | Clinic/Center | 332 S 8th St, Newark, NJ 07103-2173 | 2019-05-06 |
| 1366993586 | Newark Community Health Centers, Inc | Clinic/Center | 92-96 Ferry Street, Newark, NJ 07105-1817 | 2016-10-24 |
| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| 1932512092 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 120 Manchester Pl, Newark, NJ 07104-1704 | 2014-06-06 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1447522461 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 246 18th Ave, Newark, NJ 07108-2316 | 2012-02-07 |
| 1548431091 | Newark Community Health Centers,inc. | Clinic/Center | 982 Broad St, Newark, NJ 07102-2503 | 2008-03-12 |
| 1619148160 | Newark Community Health Centers,inc. | Clinic/Center | 516 Bergen St, Newark, NJ 07108-1639 | 2008-03-12 |
| 1770784563 | Alameda Health System | Clinic/Center | 6066 Civiv Terrace Avenue, Newark, CA 94560-3756 | 2007-05-30 |
| 1710199468 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 80 Johnson Ave, Newark, NJ 07108-2729 | 2007-05-04 |
| Find all providers in NEWARK | ||||
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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.