Organization Active NPI

Lutheran Social Ministries of New Jersey

  • PACE Provider Organization
  • Jersey City, NJ
National Provider Identifier
1306195391
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
LUTHERAN SOCIAL MINISTRIES OF NEW JERSEY
Practice address
377 Jersey Ave
Jersey City, NJ 07302-4393
Phone
(201) 499-3879
NPI assigned
Sep 5, 2012
Organization subpart
Yes
Parent organization
LUTHERAN SENIOR LIFE @ JERSEY CITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Mrs. Amie E GlasserNPI 1114267275
Title
Director of Nursing
Phone
(201) 499-3879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

377 Jersey Ave
Jersey City, NJ 07302-4393

Mailing address

377 Jersey Ave Ste 310
Jersey City, NJ 07302-4397

National Provider Directory

National Provider Directory
Part of
Lutheran Senior Healthcare Inc

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1306195391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 310",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-499-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL MINISTRIES OF NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SENIOR LIFE @ JERSEY CITY",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "201-499-3879",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.