Timothy Joseph Renyo, D

Primary specialty

OpticianTaxonomy code 156FX1800X

License

TD-1786 Issued in NJ

Practice address

3159 Route 9 S
Rio Grande, NJ 08242-1012

Phone

(609) 465-7552

NPI assigned

May 19, 2023

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 names 1

• Timothy Joseph Renyo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1902597891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RIVER DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 ROUTE 9 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421012",
            "telephone_number": "609-465-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENYO",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "TD-1786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "RENYO",
            "middle_name": "JOSEPH",
            "credential": "FNAO, ABOC, NCLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Positive Impact Physical Therapy
• Qpharma Inc (AtlantiCare Urgent Care Rio Grande)
• Jillian Rauchut, PMHNP-BC
• Regenerative Medicine of South Jersey LLC (Active Spine and Joint Institute)
• Helen Margaret Renyo
• Robert J Manoli OD and Associates PC
• Kevin Roberts, BA
• Elise Marie Rohana, APN-C
• Louvens Romain, MD
• Victoria Summer Rose, M.D.

• Optician in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.