Individual provider Active NPI

Emmanuel Marie Renaudo, D.C

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1477893030
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00703500 Issued in NJ
Practice address
550 Newark Ave
Ste 304
Jersey City, NJ 07306-1326
Phone
(201) 624-2111
Fax
(201) 795-0148
NPI assigned
Feb 19, 2013
Last updated
May 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00703500 NJ Primary

Addresses

Primary practice location

550 Newark Ave
Ste 304
Jersey City, NJ 07306-1326

Mailing address

550 Newark Ave
Ste 304
Jersey City, NJ 07306-1326
Phone (201) 624-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912002543 NJ Practitioner - Chiropractic 3274828231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

10 N Wood Ave
Linden, NJ 07036-5200

102 Engle St
Englewood, NJ 07631-2938
Phone (201) 608-5572

110 Edison PL
Suite 100
Newark, NJ 07102-4910
Phone (973) 718-7234

1122 Hwy 22
Suite 101
Mountainside, NJ 07092-1812
Phone (908) 233-3993

1225 Stuyvesant Ave
Union, NJ 07083-3837
Phone (908) 357-1655

1233 Main Ave
Clifton, NJ 07011-2241
Phone (973) 928-1144

14 -25 Plaza
R0Ad
Fair Lawn, NJ 07410-3546
Phone (201) 797-7373

153 Bergen Blvd
Suite 1
Fairview, NJ 07022-1937
Phone (201) 345-6173

1550 Lemoine Ave
Suite 101
Fort Lee, NJ 07024-5608
Phone (551) 325-1800

161 Main St
Suite 105
West Orange, NJ 07052-5623
Phone (862) 335-0200

1914A Lincoln Hwy
Edison, NJ 08817-3284
Phone (848) 205-1405

197 E Franklin Tpke
Ho Ho Kus, NJ 07423-1553
Phone (201) 447-0346

2040 Millburn Ave
Maplewood, NJ 07040-3716
Phone (862) 800-6080

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

215 W Front St
Unit 108
Plainfield, NJ 07060-1167
Phone (732) 456-7320

218 Bloomfield Ave
Bloomfield, NJ 07003-5741
Phone (973) 750-0880

223 S Washington Ave
Bergenfield, NJ 07621-2919
Phone (201) 468-0919

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

271 King St
Suite 6
Perth Amboy, NJ 08861-4488
Phone (732) 798-5474

325 Claremont Ave
Unit 34
Montclair, NJ 07042-2218
Phone (201) 345-6173

333 N Broad St
Elizabeth, NJ 07208-3706
Phone (731) 366-3443

34 Main St
Woodbridge, NJ 07095-3303
Phone (848) 999-4600

403 Valley Brook Ave
Lyndhurst, NJ 07071-1935
Phone (201) 345-5905

445 Old Hook Rd
Emerson, NJ 07630-1323
Phone (551) 242-0045

4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Chiropractor CurrentSince Dec 23, 2019 Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1477893030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-624-2111",
            "fax_number": "201-795-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-624-2111",
            "fax_number": "201-795-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUDO",
        "first_name": "EMMANUEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00703500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.