PARK ELEMENTARY
NPI 1356769277
Clinic/Center - Federally Qualified Health Center (FQHC) in Newark, NJ

Active since March 29, 2014
258-380 VERONA AVENUE, NEWARK, NJ 07114(973) 679-7709(732) 324-5765 Get Directions Write a Review

NPPES record last updated: March 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Elementary NPPES

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

PARK ELEMENTARY (NPI 1356769277) is a healthcare organization registered as a federally qualified health center (fqhc) in Newark, New Jersey and active in the NPI registry since March 2014. The organization lists Mark Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356769277
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameJEWISH RENAISSANCE MEDICAL CENTER, INC.
Location Address258-380 VERONA AVENUENewark, NJ 07114
Mailing AddressPo Box 1220Perth Amboy, NJ 08862-1220 · (732) 376-9333 · Fax (732) 324-5765
Fax(732) 324-5765
Organization SubpartNo
Authorized OfficialMark RobertsCeo · (732) 376-9333
Enumeration DateMarch 29, 2014
NPI 1356769277 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
258-380 VERONA AVENUE, Newark, NJ 07114

Other Names 1

Other NamePark Elementary

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 1356769277. It was assigned to this organization in the NPPES registry on March 29, 2014. The provider is also known as Park Elementary.

Where is Jewish Renaissance Medical Center, Inc. located?

Jewish Renaissance Medical Center, Inc. is located at 258-380 Verona Avenue, Newark, NJ 07114. The listed phone number is (973) 679-7709.

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 March 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.