Renaissance Challenge Conquerer Training Center Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

PC003003 Issued in NJ

Legal business name

RENAISSANCE CHALLENGE CONQUERER TRAINING CENTER INC

Practice address

400 7TH Ave W
Newark, NJ 07107-1697

Phone

(973) 481-3431

Fax

(973) 481-4142

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Reddick

Title

Pastor Owner

Phone

(973) 481-3431

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Renaissance Challenge Conquerer Training Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Renaissance Challenge Conquerer Training Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Newark, NJ
  • NPI 1568402956
  NPD tax ID
• Renaissance Challenge Conquerors Training Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Newark, NJ
  • NPI 1437365368
  NPD tax ID

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194941187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 7TH AVE W",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071697",
            "telephone_number": "973-481-3431",
            "fax_number": "973-481-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 7TH AVE W",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071697",
            "telephone_number": "973-481-3431",
            "fax_number": "973-481-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CHALLENGE CONQUERER TRAINING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PASTOR  OWNER",
        "authorized_official_telephone_number": "973-481-3431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "PC003003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060356",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Max Reiter
• Patricia Mangelli Reiter, CRNA
• Steven Charles Rella, DO
• Remedyplus Group Home
• Anne I Remi-Johnson
• Renaissance Challenge Conquerer Training Center Inc
• Renaissance Challenge Conquerors Training Center
• Renaissance Invalid Coach
• Renaissance Medical Group, PA
• Renal Care Group Maplewood, LLC

• Addiction (Substance Use Disorder) Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Addiction (Substance Use Disorder) Counselor 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.