Jewish Renaissance Medical Center, Inc. in Newark - Federally Qualified Health Center (fqhc)
Jewish Renaissance Medical Center, Inc. - NPI 1811109572
Jewish Renaissance Medical Center, Inc. is a Federally Qualified Health Center (fqhc) in Newark, New Jersey. Jewish Renaissance Medical Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Jewish Renaissance Medical Center, Inc. is 1811109572. The last update date is 2009-10-20.
Jewish Renaissance Medical Center, Inc.'s current location address is 90 Parker St, Newark, New Jersey. You can contact this provider via phone number 9734975773. The mailing address for Jewish Renaissance Medical Center, Inc. is 90 Parker St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jewish Renaissance Medical Center, Inc. |
|---|---|
| Address | 90 Parker St, Newark, New Jersey |
| Phone Number | 9734975773 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Roberts Mark |
| Telephone Number | 7323766601 |
NPI Number Detail
| NPI Number | 1811109572 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2009-10-20 |
Provider Mailing Address Detail
| Address | 90 Parker St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71041028 |
| Phone Number | 9734975773 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 23973 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 751103 | NJ | -- | |
| 115045 | NJ | -- | |
| 97811 | NJ | -- | |
| 8462500 | NJ | -- | |
| 8932603 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jewish Renaissance Medical Center, Inc. by the Centers for Medicare & Medicaid Services?
The Jewish Renaissance Medical Center, Inc. has been assigned the NPI (National Provider Identifier) 1811109572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jewish Renaissance Medical Center, Inc.'s facilities are situated?
The facilities of Jewish Renaissance Medical Center, Inc. are physically located at the following address: 90 Parker St, Newark, NJ, 71041028.
What is Jewish Renaissance Medical Center, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jewish Renaissance Medical Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did Jewish Renaissance Medical Center, Inc. receive its 1811109572 assignment from the Centers for Medicare & Medicaid Services?
The Jewish Renaissance Medical Center, Inc. was assigned its 1811109572 on 2007-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jewish Renaissance Medical Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jewish Renaissance Medical Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-20.