NPIMap

Organization Active NPI

Renaissance Health Care Network

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1154482263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
112967 Issued in NY
Legal business name
RENAISSANCE HEALTH CARE NETWORK
Practice address
215 W 125TH St
New York, NY 10027-4426
Phone
(212) 932-6500
Fax
(212) 316-1479
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Arturo Caesar, M.D.
Title
Assoc Med Director
Phone
(212) 932-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 112967 NY Primary

Addresses

Primary practice location

215 W 125TH St
New York, NY 10027-4426

Mailing address

215 W 125TH St
New York, NY 10027-4426
Phone (212) 932-6500

Other identifiers 1

IdentifierTypeStateIssuer
00204715MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Abdel a Ammoumi123 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

281 W 127th St
New York, NY 10027
Phone (212) 865-1300

413 E 120th St
New York, NY 10035
Phone (212) 410-7707

175 Nagle Ave
New York, NY 10034
Phone (212) 544-2001

509 W 129th St
New York, NY 10027
Phone (212) 505-1878

111 E 33rd St
New York, NY 10016
Phone (212) 576-0500

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154482263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274426",
            "telephone_number": "212-932-6500",
            "fax_number": "212-316-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274426",
            "telephone_number": "212-932-6500",
            "fax_number": "212-316-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAESAR",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "ASSOC MED DIRECTOR",
        "authorized_official_telephone_number": "212-932-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "112967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00204715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.