NPIMap

Organization Active NPI

Newark Renaissance House, Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Newark, NJ
National Provider Identifier
1972168482
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
NEWARK RENAISSANCE HOUSE, INC
Practice address
50-56 Norfolk Street
Newark, NJ 07103
Phone
(973) 854-8313
Fax
(973) 623-8877
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

50-56 Norfolk Street
Newark, NJ 07103

Mailing address

PO Box 7057
Newark, NJ 07107-0057
Phone (973) 854-8313

Other practice location 1

62-80 Norfolk Street
Newark, NJ 07103
Phone (973) 854-8313

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1972168482",
    "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": "50-56 NORFOLK STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-854-8313",
            "fax_number": "973-623-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62-80 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": "2019-05-09",
        "last_updated": "2019-05-09",
        "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": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.