Organization Active NPI

Sibaven Medical Associates and Logistics

Doing business as Serenity at Summit

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1932917713
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SIBAVEN MEDICAL ASSOCIATES AND LOGISTICS
Doing business as
Serenity at Summit
Practice address
2333 Morris Ave Ste C202
Union, NJ 07083-5747
Phone
(240) 421-5451
NPI assigned
Dec 24, 2024
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Albert KwimiNPI 1356603344
Title
Ceo
Phone
(240) 421-5451

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2333 Morris Ave Ste C202
Union, NJ 07083-5747

Mailing address

525 Route 73 N Ste 104
Marlton, NJ 08053-3422

Other names 1

  • Serenity at Summit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627001239 NJ Part B Supplier - Clinic/Group Practice 3072026699 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1932917713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE C202",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835747",
            "telephone_number": "240-421-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBAVEN MEDICAL ASSOCIATES AND LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "KWIMI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-421-5451"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity at Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.