NPIMap

Organization Active NPI

Serenity Palliative Care Services

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bordentown, NJ
National Provider Identifier
1609428440
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
Legal business name
SERENITY PALLIATIVE CARE SERVICES
Practice address
56 Georgetown Rd
Bordentown, NJ 08505-2405
Phone
(609) 227-2400
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Avrohom Maierovits
Title
Partner
Phone
(732) 994-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PH0002X Primary

Addresses

Primary practice location

56 Georgetown Rd
Bordentown, NJ 08505-2405

Mailing address

200 Blvd of the Americas
Suite 201
Lakewood, NJ 08701
Phone (732) 994-4324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191003000310 NJ Part B Supplier - Clinic/Group Practice 7315277498 Receives reassigned benefits from 17 practitioners
Practice locations: Bordentown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1609428440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLVD OF THE AMERICAS",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-994-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 GEORGETOWN RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052405",
            "telephone_number": "609-227-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "MAIEROVITS",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-994-4324"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.