Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Renew360 Professional Group, LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1639088073

Renew360 Professional Group, LLC provides Addiction Medicine (Internal Medicine) Physician services in Toms River, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1181 Route 37 W
Toms River, NJ 08755-4919
Phone: (732) 234-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1639088073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adreyanna Harvey — Clinical Director · (732) 234-0058
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 1, 2026
Mailing address1181 Route 37 West, Toms River, NJ 08755-4919

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