Organization Active NPI

The Renaissance Project New Rochelle

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Rochelle, NY
National Provider Identifier
1609174663
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE RENAISSANCE PROJECT NEW ROCHELLE
Practice address
350 North Ave
New Rochelle, NY 10801-4110
Phone
(914) 235-8048
Fax
(914) 712-3062
NPI assigned
Mar 1, 2011
Organization subpart
Yes
Parent organization
THE RENAISSANCE PROJECT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Paula Preston
Title
Office MGR
Phone
(914) 345-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

350 North Ave
New Rochelle, NY 10801-4110

Mailing address

250 Clearbrook Rd
Elmsford, NY 10523-1305
Phone (914) 345-1312

Other identifiers 1

IdentifierTypeStateIssuer
01302538MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
The Renaissance Project Inc Mt Vernon6 organizations share this tax ID, including this one
Part of
The Renaissance Project Inc Mt Vernon

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1609174663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CLEARBROOK RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231305",
            "telephone_number": "914-345-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTH AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014110",
            "telephone_number": "914-235-8048",
            "fax_number": "914-712-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE PROJECT NEW ROCHELLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE RENAISSANCE PROJECT INC",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "914-345-1312"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.