Project Renewal Inc
A Medicare group practice based in New York, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6901798651), with 25 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901798651
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
- Enrolled in
- NY
- Enrollments
- 5
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040326001016 | NY | Part B Supplier - Clinic/Group Practice | 1598770018 |
| O20100909000001 | NY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1598770018 |
| O20140110000778 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1720520083 |
| O20140110000801 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1275075020 |
| O20210816003513 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1821740275 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Project Renewal Inc
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1275075020
-
Project Renewal Inc
- Primary Care Clinic/Center
- New York, NY
- NPI 1598770018
-
Project Renewal Inc
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1720520083
-
Project Renewal Inc
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1821740275
Practice locations
- New York, NY6
- Bronx, NY1
- Islip Terrace, NY1
Clinicians 25
Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (8).
-
Nikesha Abdool
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1508358011
-
Hannah Bock-Brownstein
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1114544202
-
Richard Alan Charles, D.O.
- Psychiatry Physician
- Brooklyn, NY
- NPI 1902817950
-
Shivani Dayal, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1326287921
-
Maria Dizon
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1184001315
-
Nerik Elliott, PMHNP-BC, RN
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1396428538
-
Rachael Holbreich, MD
- Psychiatry Physician
- New York, NY
- NPI 1790348126
-
Prakash J Kamalnath, MD
- Psychiatry Physician
- Valhalla, NY
- NPI 1457422289
-
Terry G. Kaplan, MD
- Family Medicine Physician
- Mount Vernon, NY
- NPI 1316152218
-
Justin Leung, MD
- Psychiatry Physician
- New York, NY
- NPI 1578839098
-
Deborah Elise Levy, MD
- Psychiatry Physician
- New Orleans, LA
- NPI 1386140291
-
Mariya Masyukova, M.D., M.S.
- Addiction Medicine (Family Medicine) Physician
- New York, NY
- NPI 1437530342
-
Kenneth Allen Moberg, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1033379540
-
Minna Navvab, PMHNP-BC, CNM
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1467855486
-
Anjali Prakash
- Family Medicine Physician
- New York, NY
- NPI 1962296590
-
Michael L Strauss, M.D.
- Internal Medicine Physician
- New York, NY
- NPI 1578628145
-
Karin Thide, NP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1629717574
-
Johnny Thomas, DO
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1619906047
-
Derrick Tolbert-Walker, MD
- Family Medicine Physician
- New York, NY
- NPI 1609884394
-
Paolo Bautista Travers, M.D.
- Psychiatry Physician
- New York, NY
- NPI 1992892418
-
Eric E Trenkmann, M.D.
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1932126851
-
Stephanie Lynne Tutak, MD
- Internal Medicine Physician
- New York, NY
- NPI 1033614953
-
Miranda J Vondornum, M.D.
- Internal Medicine Physician
- New York, NY
- NPI 1912139007
-
Jenna Julia Webber, MD, MPH
- Family Medicine Physician
- New York, NY
- NPI 1205582814
-
Khaing San Wei, MD
- Internal Medicine Physician
- Clarksville, TN
- NPI 1275957565
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.