Renaissance Medical Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENAISSANCE MEDICAL GROUP, LLC

Doing business as

Renaissance Medical Group

Practice address

11-15 Sandersdale Road
Southbridge, MA 01550-2855

Phone

(774) 420-2311

Fax

(508) 519-0763

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Jesus D Suarez

Title

Owner/ Ceo

Phone

(774) 420-2311

Specialties & licenses 9

Addresses

Other names 1

• Renaissance Medical Group Doing business as

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1144106667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE ROAD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502855",
            "telephone_number": "774-420-2311",
            "fax_number": "508-519-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-15 SANDERSDALE ROAD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502855",
            "telephone_number": "774-420-2311",
            "fax_number": "508-519-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "774-420-2311"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paulette Remijan, APN-BC
• Renaissance Medical Aesthetics
• Renaissance Primary Care, LLC
• Tina Irene Render, M.D.
• Susan Renner, OT/R
• Erin Rhault
• Richard L. Irwin, M.D., P.a.

• Community/Behavioral Health Agency in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.