Active NPI
Bioserenity DT Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Danvers, MA
National Provider Identifier
1851333454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- BIOSERENITY DT INC.
- Practice address
- 99 Rosewood Dr Ste 185
Danvers, MA 01923-1300 - Phone
- (781) 848-9111
- NPI assigned
- Jun 11, 2006
- Last updated
- May 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Shock
- Title
- Evp Clinical Operations
- Phone
- (214) 532-3757
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
99 Rosewood Dr Ste 185
Danvers, MA 01923-1300
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400027 | Other | MA | UNITED HEALTHCARE |
| 607536 | Other | MA | TUFTS |
| 626067 | Other | MA | HARVARD PILGRIM |
| 409503 | Other | MA | BLUE CHIP |
| SF038169 | Other | MA | BCBS OF MA |
| 2860005 | Other | MA | AETNA HMO |
| 9468 | Other | MA | NEIGHBORHOOD HEALTH MA |
| 0274 | Other | MA | NEIGHBORHOOD HEALTH RI |
| 22164 | Other | MA | BCBS OF RI |
| 327004 | Other | MA | BCBS MA TECHNICAL |
| 6178 | Other | MA | FALLON |
| 7618325 | Other | MA | AETNA PPO |
| 110087093A | Medicaid | MA | |
| M16564 | Other | MA | BCBS OF MA-PROF AND ECG |
| P00008307 | Other | MA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medi Home Care
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1629051719
Member Of
Locations
639 Granite St
Ste 208
Braintree, MA 02184
Phone (781) 848-9111
99 Rosewood Dr
Ste 185
Danvers, MA 01923
Phone (781) 848-9111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1851333454",
"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": "99 ROSEWOOD DR STE 185",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231300",
"telephone_number": "781-848-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOSERENITY DT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"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
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3400027",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "607536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "626067",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "409503",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "SF038169",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2860005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH MA",
"identifier": "9468",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH RI",
"identifier": "0274",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "22164",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA TECHNICAL",
"identifier": "327004",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "6178",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7618325",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110087093A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA-PROF AND ECG",
"identifier": "M16564",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00008307",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.