Real Life Stars

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

REAL LIFE STARS

Practice address

72 E Holly Ave Ste 203
Pitman, NJ 08071-1197

Phone

(856) 589-9050

Fax

(856) 589-8255

NPI assigned

Dec 30, 2008

Organization subpart

Yes

Parent organization

PRESTIGE EDUCATIONAL GROUPAs reported in NPPES

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

Authorized official

Name

Ms. Dana Musaerenge, RN, LNHA, MSN

Title

Ceo, Owner

Phone

(856) 589-9050

Specialties & licenses 1

Addresses

Part of

Real Life Stars

Locations

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1508002296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E HOLLY AVE STE 203",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711197",
            "telephone_number": "856-589-9050",
            "fax_number": "856-589-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E HOLLY AVE STE 203",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711197",
            "telephone_number": "856-589-9050",
            "fax_number": "856-589-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE STARS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESTIGE EDUCATIONAL GROUP",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MUSAERENGE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "856-589-9050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, LNHA, MSN"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Pitman, NJ
• Providers in Pitman, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.