John Anthony Renda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04110200 Issued in NJ

Practice address

200 Perrine Rd
Suite 231
Old Bridge, NJ 08857

Phone

(732) 727-4774

Fax

(732) 727-4994

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden State Gastroenterology,PCGroup PAC ID 1658356498, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
• Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garden State Gastroenterology,PC

  • Gastroenterology Physician
  • Old Bridge, NJ
  • NPI 1215124524
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian JFK At Home

  • Home Health Agency
  • Iselin, NJ
  • NPI 1841943891
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center-Old Bridge

  • General Acute Care Hospital
  • Old Bridge, NJ
  • NPI 1356828172
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Bayshore Community Hospital

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1447227566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 231",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-727-4774",
            "fax_number": "732-727-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PERRINE RD",
            "address_2": "SUITE 231",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-727-4774",
            "fax_number": "732-727-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04110200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reformed Church Ministries to the Aging, the Particular Synod of the M (Reformed Church Home)
• Rehabilitation and Electrodiagnostics Inc
• Nicole Rehorn, R.N
• Rekha Rao MD LLC
• Reliance Adult Day Care Inc
• Resnick Consultants
• Dana M. Resnick, M.S.
• Resolute Anesthesia of NJ LLC
• Cara Lyne Riccio-Collins, L.C.S.W
• Desiree Ann Rios, BSN RN CNOR RNFA

• Internal Medicine Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.