OrganizationActive
Beacon of Life Central Nj
NPI 1700544798 · PACE Provider Organization · Lakehurst, NJ
Provider details
- NPI number
- 1700544798
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Michael Czermak, Chief Administrative Officer(855) 801-2653
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Route 70
Lakehurst, NJ 08733-2734
Phone: (732) 716-4600
Street-level locationGet directions
Mailing address
106 W Moore Ave Ste a
Mooresville, NC 28115-3552
Other names (DBA / former)
- Other name
- Boldage Pace
- Doing business as
- Boldage Pace Central Nj
Registry dates
- Enumerated
- 2021-12-07
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.