MEDICARE: THE JEWISH RENAISSANCE FOUNDATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	24975	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952770927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE JEWISH RENAISSANCE FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	1931 OAK TREE RD
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-2072
Country	:	US
Telephone Number	:	732-482-9600
Fax Number	:	732-372-0800

Provider Business Practice Location Address
First Line	:	1931 OAK TREE RD
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-2072
Country	:	US
Telephone Number	:	732-482-9600
Fax Number	:	732-372-0800

Authorized Official
Title or Position	:	CEO
Name	:	JAIME RIVELLO
Credential	:
Telephone Number	:	732-324-2114

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	10/10/2023

Similar Medicare Providers

1295085702 — CYNTHIA VUITTONET M.D.
Practice Location Address:

1931 OAK TREE RD LOWR LEVEL
EDISON, NJ
08820-2072

Practice Phone: 732-482-9600
Practice Fax: 732-372-0800

1659379865 — DR. GERARDO VILLARUZ ESTEVEZ MD
Practice Location Address:

1931 OAK TREE RD , SUITE 201
EDISON, NJ
08820-2072

Practice Phone: 732-452-0680
Practice Fax: 732-452-9136

1386615821 — GASTROENTEROLOGY ASSOCIATES OF CENTRAL JERSEY
Practice Location Address:

1931 OAK TREE RD STE 202
EDISON, NJ
08820-2072

Practice Phone: 732-744-9090
Practice Fax: 732-744-1592

1942380258 — GERARDO V. ESTEVEZ. MD PA
Practice Location Address:

1931 OAK TREE RD , SUITE 201
EDISON, NJ
08820-2072

Practice Phone: 732-452-0680
Practice Fax: 732-452-9136

1235672890 — OAK TREE ANESTHESIA ASSOCIATES, LLC
Practice Location Address:

1931 OAK TREE RD STE 100
EDISON, NJ
08820-2072

Practice Phone: 732-603-8634
Practice Fax: 866-665-8561

1659132686 — THE JEWISH RENAISSANCE FOUNDATION, INC.
Practice Location Address:

1931 OAK TREE RD
EDISON, NJ
08820-2072

Practice Phone: 732-482-9600
Practice Fax: 732-372-0800

Directions to “THE JEWISH RENAISSANCE FOUNDATION, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.