Healthcare Provider Details

I. General information

NPI: 1578178281
Provider Name (Legal Business Name): AFFINITY CARE OF NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 BRICK BLVD STE 220
BRICK NJ
08723-6031
US

IV. Provider business mailing address

317 BRICK BLVD STE 220
BRICK NJ
08723-6031
US

V. Phone/Fax

Practice location:
  • Phone: 609-445-3700
  • Fax: 732-399-8294
Mailing address:
  • Phone: 609-445-3700
  • Fax: 732-399-8294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977