NPIMap

Organization Active NPI

Amedisys New Jersey, L.L.C.

Doing business as Amedisys Hospice

  • Community Based Hospice Care Agency
  • Hackensack, NJ
National Provider Identifier
1033216338
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22614 Issued in NJ
Legal business name
AMEDISYS NEW JERSEY, L.L.C.
Doing business as
Amedisys Hospice
Practice address
21 Main St
Suite 253
Hackensack, NJ 07601-7054
Phone
(201) 342-7766
Fax
(201) 487-1982
NPI assigned
Sep 20, 2006
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L. Proffitt
Title
President & Ceo
Phone
(617) 639-4092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 02C001 NJ
Community Based Hospice Care Agency 251G00000X 22614 NJ Primary

Addresses

Primary practice location

21 Main St
Suite 253
Hackensack, NJ 07601-7054

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
0292044MedicaidNJ

Other names 1

  • Amedisys Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111128000151 NJ Part A Provider - Hospice 1153465075 Practice locations: Hackensack, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033216338. Details of each certification follow.

Hospice certification: CCN 311510

Legal name
AMEDISYS NEW JERSEY, LLC
Doing business as
HOSPICE CARE OF HACKENSACK, AN AMEDISYS COMPANY
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 23, 1984
Last certification
Jun 30, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 1, 2009 in NJ
Enrollment address
21 Main St
Ste 253
Hackensack, NJ 07601-7086

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Amedisys HospiceCCN 311510 · All quality measures
Ownership
For-Profit
Certified
May 23, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
George B Jacobs MD45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Avenir Ventures LLC

    dba Amedisys Palliative Care

    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Hackensack, NJ
    • NPI 1952146029

    Member Of

    NPD member

Locations

21 Main St
Ste 252
Hackensack, NJ 07601
Phone (201) 342-6311

25 E Salem St
Fl 3
Hackensack, NJ 07601
Phone (201) 342-7766

336 Prospect Ave
#7
Hackensack, NJ 07601
Phone (201) 342-4568

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Sarita Rastogi Individual Contracted Managing EmployeeMD; Aug 1, 2018
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 20, 2015 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Colleen McGlynn Individual W-2 Managing EmployeeAdministrator Sep 17, 2022 100%
Operational/Managerial ControlAdministrator Sep 17, 2022 100%
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Amedisys Holding LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2011 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident & Ceo Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1033216338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "SUITE 253",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017054",
            "telephone_number": "201-342-7766",
            "fax_number": "201-487-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDISYS NEW JERSEY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "02C001",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292044",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amedisys Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.