| Renaissance Medical Group, Pa | |
|
155 Jefferson St Newark NJ 07105-1706 | |
| (973) 344-5498 | |
| (973) 344-6686 |
| Full Name | Renaissance Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Jefferson St, Newark, New Jersey |
| Authorized Official Name and Position | Joseph John Calabro (PRESIDENT) |
| Authorized Official Contact | 7322120060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Group, Pa 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4918 Ph: (732) 212-0051 | Renaissance Medical Group, Pa 155 Jefferson St Newark NJ 07105-1706 Ph: (973) 344-5498 |
| NPI Number | 1801897756 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801897756 | NPI | - | NPPES |
| 84519 | Other | NJ | WELLCHOICE OF NJ |
| 6987303 | Medicaid | NJ | |
| 977755 | Other | PA | FOCUS HEALTHCARE |
| G436485 | Other | NJ | OXFORD |
| 84519 | Other | NY | EMPIRE BC BS OF NY |
| 00426770001 | Other | PA | AMERIHEALTH OF NJ |
| CG0998 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
City Of Newark Dept Of Child And Family Well Being Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 William St, Newark, NJ 07102 Phone: 973-733-7558 | |
Health Star Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-747-6579 Fax: 201-825-2908 | |
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