JEWISH RENAISSANCE MEDICAL CENTER, INC.
NPI 1225240971
Clinic/Center - Federally Qualified Health Center (FQHC) in Newark, NJ

Active since May 04, 2007
226 DAYTON ST, NEWARK, NJ 07114(973) 733-8781 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jewish Renaissance Medical Center, Inc. NPPES

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

JEWISH RENAISSANCE MEDICAL CENTER, INC. (NPI 1225240971) is a healthcare organization registered as a federally qualified health center (fqhc) in Newark, New Jersey and active in the NPI registry since May 2007. The organization lists Mark Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225240971
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameJEWISH RENAISSANCE MEDICAL CENTER, INC.
Location Address226 DAYTON STNewark, NJ 07114-1159
Mailing AddressPo Box 1220Perth Amboy, NJ 08862-1220 · (732) 376-6635 · Fax (732) 324-5765
Organization SubpartNo
Authorized OfficialMark RobertsCeo · (732) 376-6601
Enumeration DateMay 4, 2007
Last NPPES UpdateOctober 20, 2009
NPI 1225240971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in NJ · 23981
226 DAYTON ST, Newark, NJ 07114

Other Identifiers 10

Medicaid0751103NJ
Medicare PIN104936Q3JNJ
Medicare PIN712952Q3JNJ
Medicare PIN063701NJ
Medicaid0115045NJ
Medicaid8932603NJ
Medicare PIN100321Q3JNJ
Medicare PIN047027Q3JNJ
Medicaid0097845NJ
Medicaid8462500NJ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
226 DAYTON ST
NEWARK, NJ 07114

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 Jewish Renaissance Medical Center, Inc.'s NPI number?

The NPI number for Jewish Renaissance Medical Center, Inc. is 1225240971. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Jewish Renaissance Medical Center, Inc. located?

Jewish Renaissance Medical Center, Inc. is located at 226 Dayton St, Newark, NJ 07114. The listed phone number is (973) 733-8781.

What is Jewish Renaissance Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Jewish Renaissance Medical Center, Inc. was last updated on October 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.