Renaissance General Medicine PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

63357 Issued in NJ

Legal business name

RENAISSANCE GENERAL MEDICINE PC

Practice address

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1831

Phone

(201) 943-2700

Fax

(201) 943-2646

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Korenfeld, MDNPI 1063428803

Title

President

Phone

(201) 943-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Korenfeld, MD

  • Internal Medicine Physician
  • Cliffside Park, NJ
  • NPI 1063428803
  Medicare reassignment Care Compare group NPD Authorized official
• Yelena Korenfeld, MD

  • Internal Medicine Physician
  • Cliffside Park, NJ
  • NPI 1720094576
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063624294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-943-2700",
            "fax_number": "201-943-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-943-2700",
            "fax_number": "201-943-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE GENERAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORENFELD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-943-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "63357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.