Newark Renaissance House, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

0113934 Issued in NJ

Legal business name

NEWARK RENAISSANCE HOUSE, INC

Practice address

50 Norfolk St # 56
Newark, NJ 07103-3228

Phone

(973) 623-3386

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Pat Diflumeri

Title

Cfo Executive Vice President

Phone

(973) 623-3386

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Newark Renaissance House 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.

• Newark Renaissance House, Inc

  • Community/Behavioral Health Agency
  • Newark, NJ
  • NPI 1669038972
  NPD tax ID
• Newark Renaissance House, Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Newark, NJ
  • NPI 1972168482
  NPD tax ID

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407986367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORFOLK ST # 56",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033228",
            "telephone_number": "973-623-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORFOLK ST # 56",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033228",
            "telephone_number": "973-623-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK RENAISSANCE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIFLUMERI",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CFO EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "973-623-3386"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "0113934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7605501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newark Physical Therapy
• Newark Prep Charter School
• Newark Prime Care,LLC
• Newark Public Schools
• Newark Rehabilitation Center PA
• Newark Renaissance House, Inc
• Newark Renaissance House, Inc
• Newark Renal Centers, LLC
• Newark Vein and Vascular Center LLC
• Newly Destined, Inc.

• Substance Abuse Rehabilitation Facility in Newark, NJ
• Providers in Newark, NJ by specialty
• Substance Abuse Rehabilitation Facility 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.