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:
Map and Directions
Authorized official contact:
Name: Calabro, Joseph John Doctor of Osteopathy (DO)
Phone: (732) 212-0060

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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