Park Elementary

LBN: Jewish Renaissance Medical Center, Inc.
Park Elementary is an health care organization with primary practice located at 258-380 Verona Avenue , Newark NJ 07114. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Jewish Renaissance Medical Center, Inc. can be contacted via phone (973) 679-7709, or through Roberts, Mark via phone (732) 376-9333.

Contact Information

Primary practice address
258-380 Verona Avenue Newark NJ 07114
Phone: (973) 679-7709
Fax: (732) 324-5765
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Mark
Phone: (732) 376-9333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Jersey

Profile Details

NPI number 1356769277
LBN Legal business name Jewish Renaissance Medical Center, Inc.
DBA Doing business as Park Elementary
Authorized official Roberts, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2014
Last updated Mar 29th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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