| Rwjbarnabas Renaissance Primary Care | |
|
155 Jefferson St # Ll Newark NJ 07105-6906 | |
| (973) 344-5498 | |
| Not Available |
| Full Name | Rwjbarnabas Renaissance Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Jefferson St # Ll, Newark, New Jersey |
| Authorized Official Name and Position | Amato Amarain (CFO) |
| Authorized Official Contact | 9733224594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rwjbarnabas Renaissance Primary Care 3 Executive Dr Ste 400 Somerset NJ 08873-4007 Ph: () - | Rwjbarnabas Renaissance Primary Care 155 Jefferson St # Ll Newark NJ 07105-6906 Ph: (973) 344-5498 |
| NPI Number | 1114554532 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 8628409141 |
|---|---|
| Medicare Enrollment ID | O20200515001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114554532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Annette Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124230578 PECOS PAC ID: 1052489598 Enrollment ID: I20081010000010 |
| Provider Name | Jorge Osorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810936 PECOS PAC ID: 4183819980 Enrollment ID: I20101105000781 |
| Provider Name | Natalia Hochbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184890113 PECOS PAC ID: 4486713377 Enrollment ID: I20110513000067 |
| Provider Name | Esad Vucic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508190786 PECOS PAC ID: 8022260587 Enrollment ID: I20190822000428 |
| Provider Name | Yekaterina Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356737167 PECOS PAC ID: 6901156330 Enrollment ID: I20220928001110 |
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