Organization Active NPI

The Martin and Edith Stein Hospice

  • Community Based Hospice Care Agency
  • Somerset, NJ
National Provider Identifier
1336125459
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
23387 Issued in NJ
Legal business name
THE MARTIN AND EDITH STEIN HOSPICE
Practice address
354 Demott LN
Somerset, NJ 08873-4925
Phone
(732) 227-1212
Fax
(732) 227-1722
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Sharon Criscione
Title
Clinical Director
Phone
(732) 227-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 23387 NJ Primary

Addresses

Primary practice location

354 Demott LN
Somerset, NJ 08873-4925

Mailing address

354 Demott LN
Somerset, NJ 08873-4925
Phone (732) 227-1212

Other identifiers 1

IdentifierTypeStateIssuer
0086452MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050316000299 NJ Part A Provider - Hospice 8022061787 Practice locations: Somerset, NJ
O20230828000055 NJ Part B Supplier - Clinic/Group Practice 8022061787 Receives reassigned benefits from 3 practitioners
Practice locations: Somerset, NJ

Hospice certification: CCN 311560

Legal name
THE MARTIN AND EDITH STEIN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 7, 2005
Last certification
Aug 19, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2005 in NJ
Enrollment address
354 Demott LN
Somerset, NJ 08873-4925

Care Compare: Hospice

Medicare Care Compare
Listed as
Martin and Edith Stein Hospice, theCCN 311560 · All quality measures
Ownership
Non-Profit
Certified
Oct 7, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1037049Martin and Edith Stein Hospice354 Demott Lane, Somerset, NJ 08873Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
The Oscar and Ella Wilf Campus for Senior Living Organization, Somerset, NJ Non-profit Operational/Managerial Control Mar 1, 2007
Jean a Leone Individual Corporate DirectorDirector of Clinical Operations Jun 1, 2021
W-2 Managing EmployeeVice President of Clinical Operatio Jun 1, 2021
Operational/Managerial ControlVice President Clinical Operations Jun 1, 2021
Renee Krul Individual Corporate Director Nov 1, 2009
Sharon Criscione Individual Corporate DirectorDirector of Clinical Operations Feb 1, 2009
W-2 Managing EmployeeDirector of Clinical Operations Feb 1, 2009
Arthur Roswell Individual Corporate Director Nov 1, 2009
Lori Franzon Individual Corporate Director Jan 1, 2012

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1336125459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 DEMOTT LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734925",
            "telephone_number": "732-227-1212",
            "fax_number": "732-227-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 DEMOTT LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734925",
            "telephone_number": "732-227-1212",
            "fax_number": "732-227-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARTIN AND EDITH STEIN HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-05-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "CRISCIONE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-227-1212"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "23387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086452",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.