RENAISSANCE DENTAL GROUP, PC
NPI 1073725248
Clinic/Center - Dental in Cliffside Park, NJ

Q: What is Renaissance Dental Group, PC's NPI number?

The NPI number for Renaissance Dental Group, PC is 1073725248. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Renaissance Dental Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 03, 2007

596 ANDERSON AVE, SUITE# 206A, CLIFFSIDE PARK, NJ 07010(201) 840-7777(201) 840-0377 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Renaissance Dental Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE DENTAL GROUP, PC (NPI 1073725248) is a healthcare organization registered as a dental in Cliffside Park, New Jersey and active in the NPI registry since May 2007. The organization lists Anita Shulman, President, as its authorized official.

NPPES Registry Identity

NPI1073725248

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameRENAISSANCE DENTAL GROUP, PC

Location Address596 ANDERSON AVE, SUITE# 206ACliffside Park, NJ 07010

Mailing Address596 Anderson Ave, Suite# 206aCliffside Park, NJ 07010 · (201) 840-7777 · Fax (201) 840-0377

Phone(201) 840-7777

Fax(201) 840-0377

Organization SubpartNo

Authorized OfficialAnita ShulmanPresident · (201) 840-7777

Enumeration DateMay 3, 2007

Last NPPES UpdateMay 8, 2024

NPPES CertifiedMay 8, 2024

✔ NPI 1073725248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

596 ANDERSON AVE, Cliffside Park, NJ 07010

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renaissance Dental Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Renaissance Dental Group, 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)

Mikhail Shulman, DDS

Oral Surgery

NPI 1346251675

596 ANDERSON AVE STE 206A
Cliffside Park, NJ 07010

(201) 840-7777

✔ PECOS✔ Accepts MedicareSame address

Anita Shulman, DDS

Oral Surgery

NPI 1134130461

596 ANDERSON AVE STE 206A
Cliffside Park, NJ 07010

(201) 840-7777

✔ PECOSSame address

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 Dental Group, PC's NPI number?

The NPI number for Renaissance Dental Group, PC is 1073725248. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Renaissance Dental Group, PC located?

Renaissance Dental Group, PC is located at 596 Anderson Ave Suite# 206A, Cliffside Park, NJ 07010. The listed phone number is (201) 840-7777.

What is Renaissance Dental Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Renaissance Dental Group, PC enrolled in Medicare?

Yes. Renaissance Dental Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renaissance Dental Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Renaissance Dental Group, 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.

What insurance does Renaissance Dental Group, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Renaissance Dental Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renaissance Dental Group, PC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.