| Project Renewal Inc | |
|
8 East Third Street New York NY 10003-4810 | |
| (212) 620-0340 | |
| (212) 633-1410 |
| Full Name | Project Renewal Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 East Third Street, New York, New York |
| Authorized Official Name and Position | Steven Jones (CHIEF FINANCIAL AND ADMINISTRATIVE) |
| Authorized Official Contact | 2126200340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Renewal Inc 200 Varick St New York NY 10014-4810 Ph: (212) 620-0340 | Project Renewal Inc 8 East Third Street New York NY 10003-4810 Ph: (212) 620-0340 |
| NPI Number | 1598770018 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 02/24/2022 |
| Medicare PECOS PAC ID | 6901798651 |
|---|---|
| Medicare Enrollment ID | O20040326001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598770018 | NPI | - | NPPES |
| 571815 | Other | NY | MEDICARE PIN |
| 331103 | Other | NY | MEDICARE |
| 331102 | Other | NY | MEDICARE |
| Provider Name | Eric E Trenkmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932126851 PECOS PAC ID: 0143213991 Enrollment ID: I20040406001847 |
| Provider Name | Ilias Almakaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649238668 PECOS PAC ID: 8628065174 Enrollment ID: I20040427001695 |
| Provider Name | Prakash J Kamalnath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457422289 PECOS PAC ID: 5799773032 Enrollment ID: I20040504001582 |
| Provider Name | Derrick Tolbert-walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609884394 PECOS PAC ID: 2860481769 Enrollment ID: I20040506001600 |
| Provider Name | Richard Stapen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801863295 PECOS PAC ID: 7012996002 Enrollment ID: I20040714000924 |
| Provider Name | Terry Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316152218 PECOS PAC ID: 2567432909 Enrollment ID: I20040730001121 |
| Provider Name | Paolo B Travers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992892418 PECOS PAC ID: 5294787115 Enrollment ID: I20050218000214 |
| Provider Name | Johnny Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619906047 PECOS PAC ID: 8820018492 Enrollment ID: I20051128000570 |
| Provider Name | Caroline Dorsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821109414 PECOS PAC ID: 1951408111 Enrollment ID: I20070523000076 |
| Provider Name | Carol L Kessler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184783128 PECOS PAC ID: 7810094885 Enrollment ID: I20070525000555 |
| Provider Name | Shivani D Dayal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326287921 PECOS PAC ID: 4082896675 Enrollment ID: I20110302000807 |
| Provider Name | Miranda J Vondornum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912139007 PECOS PAC ID: 1658514062 Enrollment ID: I20140804001848 |
| Provider Name | Kenneth Moberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033379540 PECOS PAC ID: 3375691843 Enrollment ID: I20150106000037 |
| Provider Name | Maria Minessa Dizon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184001315 PECOS PAC ID: 0749592244 Enrollment ID: I20150710001657 |
| Provider Name | Minna S Navvab |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467855486 PECOS PAC ID: 6709176878 Enrollment ID: I20180615001680 |
| Provider Name | Amy L Edelstein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841600905 PECOS PAC ID: 6709135817 Enrollment ID: I20180823000917 |
| Provider Name | Mariya I Masyukova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437530342 PECOS PAC ID: 3072863133 Enrollment ID: I20180911002055 |
| Provider Name | Shoron Donette Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462922 PECOS PAC ID: 3173867009 Enrollment ID: I20181204003031 |
| Provider Name | Nikesha A Abdool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508358011 PECOS PAC ID: 1759713662 Enrollment ID: I20191114002399 |
| Provider Name | Khaing San Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275957565 PECOS PAC ID: 7113278094 Enrollment ID: I20191118001607 |
| Provider Name | Jenna Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205582814 PECOS PAC ID: 3678941226 Enrollment ID: I20221201002371 |
| Provider Name | Justin S Leung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578839098 PECOS PAC ID: 4789991225 Enrollment ID: I20221202001371 |
| Provider Name | Richard Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902817950 PECOS PAC ID: 5395900328 Enrollment ID: I20230307000088 |
| Provider Name | Michael Strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578628145 PECOS PAC ID: 8628259066 Enrollment ID: I20230323001068 |
| Provider Name | Hannah Bock-brownstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114544202 PECOS PAC ID: 3971968785 Enrollment ID: I20230501002328 |
| Provider Name | Deborah Elise Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386140291 PECOS PAC ID: 2961734538 Enrollment ID: I20230504002780 |
| Provider Name | Melissa O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629485578 PECOS PAC ID: 9133585219 Enrollment ID: I20230516000244 |
| Provider Name | Maeve O'neill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396194601 PECOS PAC ID: 1658668496 Enrollment ID: I20230519000356 |
| Provider Name | Rachael L Holbreich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790348126 PECOS PAC ID: 9335479690 Enrollment ID: I20230927001114 |
| Provider Name | Karin M Thide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629717574 PECOS PAC ID: 6709231368 Enrollment ID: I20231017002330 |
| Provider Name | Stephanie L Tutak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033614953 PECOS PAC ID: 4688020621 Enrollment ID: I20231026002125 |
| Provider Name | Nerik Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396428538 PECOS PAC ID: 9638526205 Enrollment ID: I20231103003133 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |