NPIMap

Individual provider Active NPI

Joseph J Renzi, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1043255003
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005082L Issued in PA
Practice address
1324 W Ritner St
Philadelphia, PA 19148-3535
Phone
(267) 773-7311
Fax
(267) 773-7312
NPI assigned
Jun 16, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005082L PA Primary

Addresses

Primary practice location

1324 W Ritner St
Philadelphia, PA 19148-3535

Mailing address

1324 W Ritner St
Ground Floor
Philadelphia, PA 19148-3535
Phone (267) 773-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000194 PA Practitioner - Family PracticePractitioner - Addiction Medicine 1052507399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Philadelphia College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1313 Wolf St
Philadelphia, PA 19148-2911
Phone (267) 773-7311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Renzi Medical, PC CurrentSince Aug 2, 2010 Accepting new patients
Renzi Medical,PC Family Medicine CurrentSince Aug 2, 2010 Accepting new patients
2509 South Fourth Operating, LLC Past Accepting new patients

Locations

1217 N Church St
Ste A
Moorestown, NJ 08057
Phone (856) 234-2828

1313 Wolf St
Philadelphia, PA 19148
Phone (215) 465-3000

1324 W Ritner St
Fl 1
Philadelphia, PA 19148
Phone (267) 773-7311

1900 S Broad St
Philadelphia, PA 19145
Phone (215) 339-4100

2317 S 23rd St
Philadelphia, PA 19145
Phone (215) 336-3553

2509 S 4th St
Philadelphia, PA 19148
Phone (215) 271-1080

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1043255003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 W RITNER ST",
            "address_2": "GROUND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483535",
            "telephone_number": "267-773-7311",
            "fax_number": "267-773-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W RITNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483535",
            "telephone_number": "267-773-7311",
            "fax_number": "267-773-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZI",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005082L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.