Active NPI
Renicure LLC
- Nephrology Physician
- Stuart, FL
National Provider Identifier
1881280196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- RENICURE LLC
- Practice address
- 5850 SE Community Dr
Stuart, FL 34997-6420 - Phone
- (772) 324-3500
- NPI assigned
- Dec 21, 2020
- Last updated
- Dec 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry J Jean, MD
- Title
- Owner
- Phone
- (978) 606-8292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
5850 SE Community Dr
Stuart, FL 34997-6420
Mailing address
1011 NW Fresco Way Apt 201
Jensen Beach, FL 34957-3539
Phone (978) 606-8292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1881280196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 NW FRESCO WAY APT 201",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573539",
"telephone_number": "978-606-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 SE COMMUNITY DR",
"city": "STUART",
"state": "FL",
"postal_code": "349976420",
"telephone_number": "772-324-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENICURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "JEAN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-606-8292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.