Renaissance Heaith Care

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

022395 Issued in NY

Legal business name

RENAISSANCE HEAITH CARE

Practice address

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

Phone

(212) 932-6588

Fax

(212) 662-2011

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moon Woong Lee, 04,25,1945

Title

Senior R.Pharmacist

Phone

(212) 932-6588

Specialties & licenses 1

Addresses

Other names 1

• sydenham nfcc Other name

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205983657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 125TH ST",
            "address_2": "215 W 125 ST. N.Y N.Y. 10027",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274426",
            "telephone_number": "212-932-6588",
            "fax_number": "212-662-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 125TH ST",
            "address_2": "215 W 125 ST. N.Y N.Y. 10027",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274426",
            "telephone_number": "212-932-6588",
            "fax_number": "212-662-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEAITH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "WOONG",
        "authorized_official_title_or_position": "SENIOR R.PHARMACIST",
        "authorized_official_telephone_number": "212-932-6588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "04,25,1945"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "022395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sydenham nfcc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Qian Ren, LAC
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• Ryan Michael Renacci, MD
• Daniel Renahan
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• Renaissance Heights LLC
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• Jasmine Rename
• Kathryn Brooke Renard, MD

• General Acute Care Hospital in New York, NY
• Providers in New York, NY by specialty
• General Acute Care Hospital in New York

• 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.