Active NPI
Renew Medical Community Care PLLC
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1992582183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- RENEW MEDICAL COMMUNITY CARE PLLC
- Practice address
- 7202 Fort Hamilton Pkwy
Brooklyn, NY 11228-1906 - Phone
- (929) 491-7700
- NPI assigned
- Sep 11, 2023
- 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
- Joseph Wiesenfeld
- Title
- Practice Administrator
- Phone
- (718) 408-8860
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
7202 Fort Hamilton Pkwy
Brooklyn, NY 11228-1906
Mailing address
1481 McDonald Ave
Brooklyn, NY 11230-4667
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1992582183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 MCDONALD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 FORT HAMILTON PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112281906",
"telephone_number": "929-491-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW MEDICAL COMMUNITY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "WIESENFELD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "718-408-8860"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Raymond Rene
- Rosette Rene
- Shaunte T Rene, RN
- Renee Family and Psychiatric Nurse Practitioner PLLC
- Renee Family Health and Psychiatric Nurse Practitioner Office PLLC
- Renew Medical of New York, PLLC
- Renew Physical Therapy, PC
- Renewal Wellness Center
- Shantae Renfroe, SPECIAL EDUCATION
- Stephanie Renfroe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.