Crest Medical Assoc&Bayshore Medical Assoc.

LBN: Richard A Renza Do Pa
Crest Medical Assoc&Bayshore Medical Assoc. is an health care organization with primary practice located at 6410 New Jersey Ave , Wildwood Crest NJ 08260-1216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Richard A Renza Do Pa can be contacted via phone (609) 523-1331, or through Renza, Richard Allen via phone (609) 523-1331.

Contact Information

Primary practice address
6410 New Jersey Ave Wildwood Crest NJ 08260-1216
Fax: (609) 522-1516
Website:
Authorized official contact:
Name: Renza, Richard Allen Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1316093636
LBN Legal business name Richard A Renza Do Pa
DBA Doing business as Crest Medical Assoc&Bayshore Medical Assoc.
Authorized official Renza, Richard Allen Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1316093636 NPPES
New Jersey MEDICAID 8395004

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