NPIMap

Organization Active NPI

Renascent Health Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
National Provider Identifier
1174983647
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
RENASCENT HEALTH CENTER
Practice address
334 E 96TH St
Apt 6a
New York, NY 10128-3931
Phone
(212) 289-5668
Fax
(212) 289-5668
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Monica Marianne Rogalski, D.O.NPI 1932215290
Title
Owner
Phone
(212) 289-5668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

334 E 96TH St
Apt 6a
New York, NY 10128-3931

Mailing address

334 E 96TH St
Apt 6a
New York, NY 10128-3931
Phone (212) 289-5668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1174983647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E 96TH ST",
            "address_2": "APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283931",
            "telephone_number": "212-289-5668",
            "fax_number": "212-289-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 E 96TH ST",
            "address_2": "APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283931",
            "telephone_number": "212-289-5668",
            "fax_number": "212-289-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "ROGALSKI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "MARIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-289-5668",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 26, 2016; 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.