Provider Demographics
NPI:1336125459
Name:THE MARTIN AND EDITH STEIN HOSPICE
Entity Type:Organization
Organization Name:THE MARTIN AND EDITH STEIN HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISCIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-227-1212
Mailing Address - Street 1:354 DEMOTT LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4925
Mailing Address - Country:US
Mailing Address - Phone:732-227-1212
Mailing Address - Fax:732-227-1722
Practice Address - Street 1:354 DEMOTT LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4925
Practice Address - Country:US
Practice Address - Phone:732-227-1212
Practice Address - Fax:732-227-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23387251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0086452Medicaid
NJ0086452Medicaid