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BEACON OF LIFE NORTH NJ LLC
NPI 1063244630
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in E Brunswick, NJ

Active since August 14, 2024
25 KENNEDY BLVD, E BRUNSWICK, NJ 08816(732) 806-3205 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Aug 14, 2024 (2 updates tracked since 2024).

About Beacon Of Life North Nj Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON OF LIFE NORTH NJ LLC (NPI 1063244630), doing business as Boldage Pace North Nj, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in E Brunswick, New Jersey and active in the NPI registry since August 2024. The organization lists Michael Czermak, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1063244630
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBEACON OF LIFE NORTH NJ LLC
Location Address25 KENNEDY BLVDE Brunswick, NJ 08816-1259
Mailing Address106 W Moore AveMooresville, NC 28115-3551 · (732) 806-3205
Phone(732) 806-3205
Organization SubpartNo
Authorized OfficialMichael CzermakChief Administrative Officer · (855) 801-2653
Enumeration DateAugust 14, 2024
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1063244630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
25 KENNEDY BLVD, E Brunswick, NJ 08816
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Other Names 2

Doing Business AsBoldage Pace North Nj
Other NameBoldage Pace

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEN JAVON SMITH M.D.
Specialist
25 KENNEDY BLVD, SUITE 850
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 875-3814
ESV
Social Worker (Clinical)
25 KENNEDY BLVD
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 257-6662
BRAIN AND SPINE INSTITUTE OF NY AND NJ
Neurological Surgery
25 KENNEDY BLVD, SUITE 850
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 241-0806
EASTER SEALS NEW JERSEY
Day Training, Developmentally Disabled Services
25 KENNEDY BLVD, SUITE 600
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 257-6662
EASTER SEALS FINANCIAL COUNSELING SERVICES LLC
Supports Brokerage
25 KENNEDY BLVD, SUITE 600
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 257-6662
EASTER SEALS NEW JERSEY
Community Based Residential Treatment Facility, Mental Illness
25 KENNEDY BLVD, SUITE 600
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 257-6662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Of Life North Nj LLC's NPI number?

The NPI number for Beacon Of Life North Nj LLC is 1063244630. It was assigned to this organization in the NPPES registry on August 14, 2024. The provider is doing business as BoldAge PACE North NJ. The provider is also known as BoldAge PACE.

Where is Beacon Of Life North Nj LLC located?

Beacon Of Life North Nj LLC is located at 25 Kennedy Blvd, E Brunswick, NJ 08816. The listed phone number is (732) 806-3205.

What is Beacon Of Life North Nj LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Beacon Of Life North Nj LLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.