NEWARK RENAISSANCE HOUSE INC NPI 1407986367

NPI Information

NPI: 1407986367
Provider Name: NEWARK RENAISSANCE HOUSE, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
50 NORFOLK ST # 56
NEWARK, NJ
ZIP 07103
Phone: (973) 623-3386
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NEWARK RENAISSANCE HOUSE, INC is a substance abuse rehabilitation facility in Newark, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEWARK RENAISSANCE HOUSE, INC NPI is 1407986367. The provider is registered as an organization entity type.

The provider's business location address is:

50 NORFOLK ST # 56
NEWARK, NJ
ZIP 07103-228
Phone: (973) 623-3386

The provider's authorized official is Pat Diflumeri .
The authorized official title is Cfo Executive Vice President and has the following contact phone number (973) 623-3386.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		0113934	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0102202	MEDICAID	NEW JERSEY
2	7605501	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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