Eugene M Renzi, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

081639 Issued in NY

Practice address

159 Mullin St
Watertown, NY 13601-3615

Phone

(315) 788-5265

Fax

(315) 786-0973

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972593424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MULLIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013615",
            "telephone_number": "315-788-5265",
            "fax_number": "315-786-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MULLIN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013615",
            "telephone_number": "315-788-5265",
            "fax_number": "315-786-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZI",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "081639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0200570",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00560045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David V Reindl, MD
• Laura Reitler
• Margot M Remington, MD
• Sara Remley, CPO
• Renal Care of Northern New York, LLC
• Kristin N Renzi, RPH
• Darlene Marie Repp, LPN
• Shirley Alice Retz, MHC
• Amanda Reynolds, COTA/L
• Rhiannon Reynolds, PHARMD

• Specialist in Watertown, NY
• Providers in Watertown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.