RENAISSANCE GENERAL MEDICINE PC
NPI 1063624294
Clinic/Center - Primary Care in Cliffside Park, NJ
About Renaissance General Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAISSANCE GENERAL MEDICINE PC (NPI 1063624294) is a healthcare organization registered as a primary care in Cliffside Park, New Jersey and active in the NPI registry since May 2007. The organization lists Alexander Korenfeld, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renaissance General Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Renaissance General Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Cliffside Park, NJ 07010
Cliffside Park, NJ 07010
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Renaissance General Medicine PC's NPI number?
The NPI number for Renaissance General Medicine PC is 1063624294. It was assigned to this organization in the NPPES registry on May 3, 2007.
Where is Renaissance General Medicine PC located?
Renaissance General Medicine PC is located at 596 Anderson Ave Suite 302, Cliffside Park, NJ 07010. The listed phone number is (201) 943-2700.
What is Renaissance General Medicine PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Renaissance General Medicine PC enrolled in Medicare?
Yes. Renaissance General Medicine PC is registered in the Medicare PECOS enrollment system.
When is Renaissance General Medicine PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Renaissance General Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Renaissance General Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Renaissance General Medicine PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Renaissance General Medicine Pc · NPI 1063624294
Primary Care organization in Cliffside Park, New Jersey. Organization record, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1063624294 (Entity type: Organization)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Alexander Korenfeld, PRESIDENT
## Practice location
- **Address:** 596 ANDERSON AVE, SUITE 302, Cliffside Park, NJ 07010-1831
- **Phone:** (201) 943-2700 · **Fax:** (201) 943-2646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063624294) · Data from the CMS NPPES public registry.