Renaissance Medical Group, Pa
LBN: Renaissance Medical Group, Pa
Renaissance Medical Group, Pa is an health care organization with primary practice located at 155 Jefferson St , Newark NJ 07105-1706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Renaissance Medical Group, Pa can be contacted via phone (973) 344-5498, or through Calabro, Joseph John via phone (732) 212-0060.
Contact Information
Primary practice address
155 Jefferson St
Newark NJ 07105-1706
Phone: (973) 344-5498
Fax: (973) 344-6686
Website:
Authorized official contact:
Name: Calabro, Joseph John Doctor of Osteopathy (DO)
Phone: (732) 212-0060
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | New Jersey |
Profile Details
| NPI number | 1801897756 |
|---|---|
| LBN Legal business name | Renaissance Medical Group, Pa |
| DBA Doing business as | |
| Authorized official | Calabro, Joseph John Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1801897756 | NPPES |
| New Jersey | Other | 84519 | WELLCHOICE OF NJ |
| New Jersey | MEDICAID | 6987303 | WELLCHOICE OF NJ |
| New Jersey | Other | 977755 | WELLCHOICE OF NJ |
| New Jersey | Other | G436485 | WELLCHOICE OF NJ |
| New Jersey | Other | 84519 | WELLCHOICE OF NJ |
| New Jersey | Other | 00426770001 | WELLCHOICE OF NJ |
| New Jersey | Other | CG0998 | WELLCHOICE OF NJ |
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