NPIMap

Organization Active NPI

Seretiscare Inc.

Doing business as SeretisCare Family Practice

  • Primary Care Clinic/Center
  • Logan Township, NJ
National Provider Identifier
1487758165
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MB 65801 Issued in NJ
Legal business name
SERETISCARE INC.
Doing business as
SeretisCare Family Practice
Practice address
499 Beckett Rd
Suite 201B
Logan Township, NJ 08085-1766
Phone
(856) 467-6400
Fax
(856) 467-1033
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. George John Seretis, D.O.NPI 1144208968
Title
President
Phone
(856) 467-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MB 65801 NJ Primary

Addresses

Primary practice location

499 Beckett Rd
Suite 201B
Logan Township, NJ 08085-1766

Mailing address

499 Beckett Rd
Suite 201B
Logan Township, NJ 08085-1766
Phone (856) 467-6400

Other names 1

  • SeretisCare Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000319 NJ Part B Supplier - Clinic/Group Practice 8325045743 Receives reassigned benefits from 3 practitioners
Practice locations: Logan Township, NJ

National Provider Directory

National Provider Directory

Locations

499 Beckett Rd
Ste 201B
Swedesboro, NJ 08085
Phone (856) 467-4600

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1487758165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "address_2": "SUITE 201B",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "telephone_number": "856-467-6400",
            "fax_number": "856-467-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD",
            "address_2": "SUITE 201B",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851766",
            "telephone_number": "856-467-6400",
            "fax_number": "856-467-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERETISCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "SERETIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-467-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MB 65801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeretisCare Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.