Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Practice address

415 Jack Martin Blvd
Brick, NJ 08724-7732

Phone

(732) 206-8000

NPI assigned

Oct 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Hand

Title

Senior Finance Administration

Phone

(732) 481-8529

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1033620216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 HWY 138 STE A",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199671",
            "telephone_number": "732-751-3624",
            "fax_number": "732-280-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-206-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SENIOR FINANCE ADMINISTRATION",
        "authorized_official_telephone_number": "732-481-8529"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6523609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen Guthorn, LPN
• Lisa Guzman
• Erica Haberman
• Marina Habib, DO
• Hackensack Meridian
• Hackensack Meridian Ambulatory Care, Inc.
• Andrew Biskal Haddad, MD
• Nadeem Z Haider, MD
• Ronald Wayne Haimowitz, D.D.S.
• Vijay Halari, MD

• Skilled Nursing Facility in Brick, NJ
• Providers in Brick, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.