Jewish Renaissance Medical Center, Inc.
LBN: Jewish Renaissance Medical Center, Inc.
Jewish Renaissance Medical Center, Inc. is an health care organization with primary practice located at 90 Parker St , Newark NJ 07104-1028. 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) 497-5773, or through Roberts, Mark via phone (732) 376-6601.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 23973 | New Jersey |
Profile Details
| NPI number | 1811109572 |
|---|---|
| LBN Legal business name | Jewish Renaissance Medical Center, Inc. |
| DBA Doing business as | |
| Authorized official | Roberts, Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Oct 20th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811109572 | NPPES |
| New Jersey | MEDICAID | 0751103 | |
| New Jersey | MEDICAID | 0115045 | |
| New Jersey | MEDICAID | 0097811 | |
| New Jersey | MEDICAID | 8462500 | |
| New Jersey | MEDICAID | 8932603 |
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