Bioserenity DT Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BIOSERENITY DT INC.

Practice address

130 S State Rd Ste 202
Springfield, PA 19064-1232

Phone

(610) 543-6800

Fax

(610) 543-8051

NPI assigned

Aug 12, 2006

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Shock

Title

Evp Clinical Operations

Phone

(214) 532-3757

Specialties & licenses 2

Addresses

Other identifiers 5

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medical Services of America Inc

  dba Medi Home Care

  • Durable Medical Equipment & Medical Supplies
  • Sparta, NC
  • NPI 1467451963

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1184636870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 245",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234537",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S STATE RD STE 202",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641232",
            "telephone_number": "610-543-6800",
            "fax_number": "610-543-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "214-532-3757"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PERSONAL CHOICE PPO",
            "identifier": "0453320000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERS CHOICE",
            "identifier": "0453320000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Benz, MASTECTOMY FITTER
• Melanie Berman, CRNP
• Ann R. Best, PSY.D.
• Better Life Solutions, PC
• Bio-Medical Applications of Pennsylvania, Inc.
• Sonia Bisaccia, M.D.
• Philip Bixby, M.D.
• Sarah Bixby, RDN
• BJ's Wholesale Club Inc.
• BJS Wholesale Club Inc (BJS Pharmacy)

• Sleep Disorder Diagnostic Clinic/Center in Springfield, PA
• Providers in Springfield, PA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.