Newark Renaissance House, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEWARK RENAISSANCE HOUSE, INC

Practice address

50 Norfolk St
Newark, NJ 07103-3228

Phone

(973) 854-8313

Fax

(973) 623-8877

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Marian Schreck

Title

VP/Coo

Phone

(973) 202-0870

Specialties & licenses 1

Addresses

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

  • Substance Abuse Rehabilitation Facility
  • Newark, NJ
  • NPI 1407986367
  NPD tax ID
• Newark Renaissance House, Inc

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

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1669038972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7057",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071070057",
            "telephone_number": "973-854-8313",
            "fax_number": "973-623-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORFOLK ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033228",
            "telephone_number": "973-854-8313",
            "fax_number": "973-623-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Norfolk Street",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07103",
            "country_code": "US",
            "telephone_number": "973-854-8313",
            "fax_number": "973-623-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEWARK RENAISSANCE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "SCHRECK",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "973-202-0870"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Brian Keith Newsome

• Community/Behavioral Health Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.