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BEACON OF LIFE CENTRAL NJ
NPI 1942678396
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Oceanport, NJ

Active since September 02, 2015CLIA 31D2250368 · Waiver
1075 STEPHENSON AVE, OCEANPORT, NJ 07757(732) 592-3400 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2025, Aug 20, 2024, Aug 14, 2024 and 2 more (5 updates tracked since 2017).

About Beacon Of Life Central Nj NPPES

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

BEACON OF LIFE CENTRAL NJ (NPI 1942678396), doing business as Boldage Pace Central Nj, is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Oceanport, New Jersey and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Michael Czermak, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1942678396
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameBEACON OF LIFE CENTRAL NJ
Location Address1075 STEPHENSON AVEOceanport, NJ 07757
Mailing Address106 W Moore AveMooresville, NC 28115-3551 · (732) 806-3205
Phone(732) 592-3400
Organization SubpartNo
Authorized OfficialMichael CzermakChief Administrative Officer · (855) 801-2653
Enumeration DateSeptember 2, 2015
Last NPPES UpdateApril 10, 20255 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1942678396 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.
1075 STEPHENSON AVE, Oceanport, NJ 07757
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Other Names 2

Doing Business AsBoldage Pace Central Nj
Other NameBoldage Pace

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2250368

Beacon Of Life · Lakehurst, NJ
Active · expires Jan 25, 2028
CLIA Number31D2250368
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorPinchus Friedman
Laboratory Phone(732) 592-3400
Laboratory LocationBeacon Of Life800 Route 70, Lakehurst, NJ 08733
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MS. REBECCA FLORENCE MIZRAHI APN
Nurse Practitioner (Psychiatric/Mental Health)
1075 STEPHENSON AVE
OCEANPORT, NJ 07757
Monmouth County (848) 208-2636
SHARISA LOVICK
Nurse Practitioner
1075 STEPHENSON AVE
OCEANPORT, NJ 07757
Monmouth County (732) 592-3400
MORGAN KEPHART
Counselor
1075 STEPHENSON AVE
OCEANPORT, NJ 07757
Monmouth County (848) 208-2636

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 Central Nj's NPI number?

The NPI number for Beacon Of Life Central Nj is 1942678396. It was assigned to this organization in the NPPES registry on September 2, 2015. The provider is doing business as BoldAge PACE Central NJ. The provider is also known as BoldAge PACE.

Where is Beacon Of Life Central Nj located?

Beacon Of Life Central Nj is located at 1075 Stephenson Ave, Oceanport, NJ 07757. The listed phone number is (732) 592-3400.

What is Beacon Of Life Central Nj'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.

Does Beacon Of Life Central Nj hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2250368) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Of Life Central Nj was last updated on April 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.