Renaissance Care LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RENAISSANCE CARE LLC

Practice address

55 Davidson Mill Rd
North Brunswick, NJ 08902-4751

Phone

(732) 491-3619

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By 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

Dr. Aliya Fayazi, APNNPI 1265038723

Title

Manager

Phone

(732) 491-3619

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aliya Fayazi

  • Gerontology Nurse Practitioner
  • North Brunswick, NJ
  • NPI 1265038723
  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1306415765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DAVIDSON MILL RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024751",
            "telephone_number": "732-491-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DAVIDSON MILL RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024751",
            "telephone_number": "732-491-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "FAYAZI",
        "authorized_official_first_name": "ALIYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-491-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.