Masonic Charity Foundation of New Jersey

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

24104 Issued in NJ

Legal business name

MASONIC CHARITY FOUNDATION OF NEW JERSEY

Practice address

902 Jacksonville Rd
Burlington, NJ 08016-3814

Phone

(609) 589-4444

Fax

(609) 589-4034

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Anda Durso, LNHA

Title

Executive Director

Phone

(609) 850-1089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACACIA HOSPICE Doing business as

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1124212840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163814",
            "telephone_number": "609-589-4444",
            "fax_number": "609-589-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163814",
            "telephone_number": "609-589-4444",
            "fax_number": "609-589-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC CHARITY FOUNDATION OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DURSO",
        "authorized_official_first_name": "ANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-850-1089",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "24104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157287",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACACIA HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACACIA HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Paul Marini
• Genevieve Marino, LPN
• Enid Claire Maroney, DPM
• Esther Martinez, MD
• Masonic Charity Foundation of New Jersey
• Masonic Charity Foundation of New Jersey
• Angela Mathis, LCSW
• Tricia M Mathis
• Leonida D. Matibag, RN
• Stephen John Matlaga, D.C.

• Community Based Hospice Care Agency in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.