Beacon Of Life Central Nj
PACE Provider Organization in Oceanport, New Jersey
1942678396- Practice location
- 1075 Stephenson Ave, Oceanport, NJ 07757
- Phone
- 732-592-3400
- Fax
- —
- Last updated
- April 10, 2025
Beacon Of Life Central Nj is a healthcare organization based in Oceanport, NJ. Beacon Of Life Central Nj practices in Oceanport, NJ. The NPI Number for Beacon Of Life Central Nj is 1942678396. The current practice location address for Beacon Of Life Central Nj is 1075 Stephenson Ave, Oceanport, NJ 07757 and can be reached out via phone at 732-592-3400.
Provider Profile Details
- NPI Number
- 1942678396
- Provider Name
- Beacon Of Life Central Nj
- Provider Entity Type
- Organization
- Address
- 1075 Stephenson Ave, Oceanport, NJ 07757
- Phone Number
- 732-592-3400
- Primary Taxonomy
- PACE Provider Organization · 251T00000X
- Organization Subpart
- No
- Authorized Official
- Michael Czermak · Chief Administrative Officer · 855-801-2653
- Other Names
- Boldage Pace (Other Name)
Boldage Pace Central Nj (Doing Business As) - Provider Enumeration Date
- September 2, 2015
- Last Update Date
- April 10, 2025
- Certification Date
- April 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1075 Stephenson Ave
Oceanport, NJ 07757 - City
- Oceanport
- State
- New Jersey
- Zip
- 07757
- Phone Number
- 732-592-3400
Provider Business Mailing Address Details
- Address
- 106 W Moore Ave
Mooresville, NC 28115-3551 - City
- Mooresville
- State
- NC
- Zip
- 28115-3551
- Phone Number
- 732-806-3205
License Information
- Taxonomy
- PACE Provider Organization · 251T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beacon Of Life Central Nj?
The NPI number of Beacon Of Life Central Nj is 1942678396. It was assigned on September 2, 2015 and is currently active in the NPPES registry.
What is the specialty of Beacon Of Life Central Nj?
Beacon Of Life Central Nj is registered under the primary taxonomy PACE Provider Organization (code 251T00000X).
Where does Beacon Of Life Central Nj practice?
The practice location is 1075 Stephenson Ave, Oceanport, NJ 07757. The office can be reached at 732-592-3400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942678396 directly on the NPPES registry website.