Organization
JEWISH RENAISSANCE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA FERREIRA (DIRECTOR OF HR)
(732) 376-6615
Entity
Organization
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861
(732) 376-6615
Mailing address
PO BOX 1220, PERTH AMBOY, NJ 08862-1220
(732) 376-6615
(732) 324-5765
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23977
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097811
—
NJ
05
—
0097837
—
NJ
05
—
0097918
—
NJ
05
—
0207161
—
NJ
05
—
0284351
—
NJ
05
—
0404268
—
NJ
05
—
0428396
—
NJ
05
—
0481491
—
NJ
05
—
8751404
—
NJ
Enumeration date
05/04/2007
Last updated
06/05/2018
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