Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jewish Renaissance Medical Center, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1356769277

Jewish Renaissance Medical Center, Inc is a Federally Qualified Health Center (FQHC) in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

258-380 Verona Ave
Newark, NJ 07114
Phone: (973) 679-7709
Fax: (732) 324-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (NJ)

Record details

NPI number1356769277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Roberts — Ceo · (732) 376-9333
Other names Park Elementary
NPI enumeratedMarch 29, 2014
Last updated in NPPESMarch 29, 2014
Mailing addressPo Box 1220, Perth Amboy, NJ 08862-1220

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