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RENAISSANCE MEDICAL GROUP PA NPI 1801897756


NPI Information

NPI: 1801897756
Provider Name: RENAISSANCE MEDICAL GROUP, PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
155 JEFFERSON ST
NEWARK, NJ
ZIP 07105
Phone: (973) 344-5498
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RENAISSANCE MEDICAL GROUP, PA is an internal medicine in Newark, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. RENAISSANCE MEDICAL GROUP, PA NPI is 1801897756. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 JEFFERSON ST
NEWARK, NJ
ZIP 07105-706
Phone: (973) 344-5498
Fax: (973) 344-6686

The provider's authorized official is Joseph John Calabro .
The authorized official title is President and has the following contact phone number (732) 212-0060.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100426770001OTHERPENNSYLVANIAAMERIHEALTH OF NJ
2G436485OTHERNEW JERSEYOXFORD
3CG0998OTHERNEW JERSEYRAILROAD MEDICARE
484519OTHERNEW YORKEMPIRE BC BS OF NY
584519OTHERNEW JERSEYWELLCHOICE OF NJ
66987303MEDICAIDNEW JERSEY
7977755OTHERPENNSYLVANIAFOCUS HEALTHCARE

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

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