Bioserenity DT, Inc.

Key facts

NPI

1457536997

Entity type

Organization (NPI type 2)

Primary specialty

Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Legal business name

BIOSERENITY DT, INC.

Practice address

1003 Easton Rd
Suite 101
Willow Grove, PA 19090

Phone

(610) 543-6800

NPI assigned

Jan 3, 2008

Organization subpart

No

Authorized official

Name

Janice Shock

Title

Evp Clinical Operations

Phone

(214) 532-3757

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 10, 2022.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1457536997",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 EASTON RD",
            "address_2": "SUITE 101",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "610-543-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK - BC/BS OF PA",
            "identifier": "000020417",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0658107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERS CHOICE",
            "identifier": "0453320000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PERSONAL CHOICE PPO",
            "identifier": "0453320000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

• Stephanie Alden Berends, LMT
• Richard Berman, PHARMD
• Alexander Keeley Bernstein
• Lynda Bigoney
• Bio-Medical Applications of Pennsylvania, Inc.
• Katherine Marie Black, OT
• Sherry L Blumenthal, M.D.
• Kevin R Booth, MD
• Leah Rebecca Booze, LPC
• Laura A Borthwick, MD

All providers in Willow Grove, PA · Sleep Disorder Diagnostic Clinic/Center in Pennsylvania