# NEW RENAISSANCE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346184918
- **Authorized official:** SYBIL MONIQUE FORD (OWNER)
- **Authorized official phone:** (917) 692-0624

## Contact information

- **Practice address:** 56 CONSTITUTION WAY, JERSEY CITY, NJ 07305-5445
- **Practice address phone:** (917) 692-0624
- **Mailing address:** 56 CONSTITUTION WAY, JERSEY CITY, NJ 07305-5445
- **Mailing address phone:** (917) 692-0624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2026
- **Last updated:** 04/15/2026