Provider Demographics
NPI:1831220276
Name:ALBERT RIENZO MD PA
Entity type:Organization
Organization Name:ALBERT RIENZO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIENZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-870-1444
Mailing Address - Street 1:279 3RD AVE
Mailing Address - Street 2:SUITE 601
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6205
Mailing Address - Country:US
Mailing Address - Phone:732-870-1444
Mailing Address - Fax:
Practice Address - Street 1:279 3RD AVE
Practice Address - Street 2:SUITE 601
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6205
Practice Address - Country:US
Practice Address - Phone:732-870-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000645683003OtherUNITED HEALTH CARE
NJ5327623OtherCIGNA
NJ67451OtherEMPIRE HEALTH CARE
NJ1038063OtherHORIZON NJ HEALTH
NJ53954OtherHIGHMARK BLUE SHIELD
NJ8211091OtherGHI
NJ0074811000OtherAMERIHEALTH
NJF04211OtherHEALTH NET
NJ4817401Medicaid
NJ67451OtherEMPIRE BLUE NY
NJ208570OtherOXFORD
NJ4204033OtherAETNA
NJ=========001OtherQUALCARE
NJF04211OtherHEALTH NET
NJ67451OtherEMPIRE HEALTH CARE
NJ1038063OtherHORIZON NJ HEALTH