Active NPI
Bioserenity DT Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Cherry Hill, NJ
National Provider Identifier
1992715890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- BIOSERENITY DT INC.
- Practice address
- 1060 Kings Hwy N Ste 309
Cherry Hill, NJ 08034 - Phone
- (610) 543-6800
- Fax
- (610) 543-8051
- NPI assigned
- Aug 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1060 Kings Hwy N Ste 309
Cherry Hill, NJ 08034
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0453320000 | Other | NJ | AMERIHEALTH PERS CHOICE |
| 0658107000 | Other | NJ | AMERIHEALTH |
| 7618325 | Other | NJ | AETNA |
| 0658107000 | Other | NJ | KEYSTONE |
National Provider Directory
National Provider DirectoryLocations
1415 Marlton Pike E
Ste 300
Cherry Hill, NJ 08034
Phone (856) 616-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1992715890",
"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": "1060 KINGS HWY N STE 309",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "610-543-6800",
"fax_number": "610-543-8051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOSERENITY DT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"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
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PERS CHOICE",
"identifier": "0453320000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0658107000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0658107000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
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.