NPIMap

Organization Active NPI

Serenity Hospice Care, LLC

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bordentown, NJ
National Provider Identifier
1902621097
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
Legal business name
SERENITY HOSPICE CARE, LLC
Practice address
56 Georgetown Rd
Bordentown, NJ 08505-2405
Phone
(609) 227-2400
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SERENITY HOSPICE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PH0002X Primary

Addresses

Primary practice location

56 Georgetown Rd
Bordentown, NJ 08505-2405

Mailing address

56 Georgetown Rd
Bordentown, NJ 08505-2405
Phone (609) 227-2400

Other names 1

  • Serenity Hospice & Palliative Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219002471 NJ Part B Supplier - Clinic/Group Practice 5092988089 Receives reassigned benefits from 15 practitioners
Practice locations: Bordentown, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Serenity Hospice Care LLC2 organizations share this tax ID, including this one
Part of
Serenity Hospice Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Hamilton Health Pl
Fl 3
Hamilton, NJ 08690
Phone (609) 584-6522

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1902621097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GEORGETOWN RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052405",
            "telephone_number": "609-227-2400"
        },
        {
            "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 HOSPICE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY HOSPICE CARE, LLC",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "MAIEROVITS",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-994-4324"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice & Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 22, 2024; 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.