NPIMap

Organization Active NPI

Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1154379626
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC
Practice address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Phone
(732) 807-0800
Fax
(732) 922-0548
NPI assigned
May 5, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Daniel Varga, M.D.NPI 1932164258
Title
Director
Phone
(327) 807-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1,621

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060109000000 NJ Part B Supplier - Clinic/Group Practice 0446272298 Receives reassigned benefits from 335 practitioners
Practice locations: Neptune, NJ; Old Bridge, NJ; Paramus, NJ; Perth Amboy, NJ; Red Bank, NJ; Shrewsbury, NJ; Toms River, NJ; Manahawkin, NJ…

National Provider Directory

National Provider Directory

Locations (25 of 216)

504 Cottage St
Springfield, MA 01104
Phone (413) 750-9044

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

1030 Saint Georges Ave
Ste 302
Avenel, NJ 07001
Phone (732) 669-9191

432 Broadway
Bayonne, NJ 07002

504 Broadway
#506
Bayonne, NJ 07002

1610 Route 88 W
Ste 103
Brick, NJ 08724
Phone (732) 785-5500

425 Jack Martin Blvd
Fl 1
Brick, NJ 08724

525 Route 70
Ste 2B
Brick, NJ 08723
Phone (732) 477-4422

525 Route 70
Ste 2A
Brick, NJ 08723
Phone (732) 477-0927

1610 Route 88 W
Brick, NJ 08724
Phone (732) 295-6543

425 Jack Martin Blvd
Fl 2
Brick, NJ 08724
Phone (732) 202-1500

1610 Route 88
Ste 203GYN
Brick, NJ 08724
Phone (732) 836-4674

1623 Route 88
Brick, NJ 08724
Phone (732) 458-9666

1 Metro Blvd
Ste 3C
Clifton, NJ 07014
Phone (973) 230-6643

1 Clifton Blvd
Ste 2A
Clifton, NJ 07011

1 Metro Blvd
Ste 3A
Clifton, NJ 07014
Phone (551) 996-8867

1 Metro Blvd
Ste 202
Clifton, NJ 07014

1 Metro Blvd
Ste 2A
Clifton, NJ 07014
Phone (973) 230-6610

1 Metro Blvd
Bldg A
Clifton, NJ 07014
Phone (973) 230-6600

1 Metro Blvd
Ste 3B
Clifton, NJ 07014
Phone (551) 996-8100

1 Metro Blvd
Ste 2D
Clifton, NJ 07014
Phone (973) 230-6666

465 Cranbury Rd
Ste 201
East Brunswick, NJ 08816
Phone (732) 613-1988

620 Cranbury Rd
Ste 220
East Brunswick, NJ 08816

135 Highway 35
Ste 2
Eatontown, NJ 07724

125 River Rd
Ste 103
Edgewater, NJ 07020
Phone (201) 969-2111

Specialties & licenses 12

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NJ Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X NJ
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X NJ
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X NJ
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X NJ
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X NJ
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X NJ
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X NJ
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X NJ
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X NJ

Addresses

NPPES NPI Registry

Primary practice location

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688

Mailing address

PO Box 95000-7720
Philadelphia, PA 19195-0001
Phone (732) 807-0800

Other practice location 1

1200 Jumping Brook Rd
Bldg 5
Neptune, NJ 07753-2634
Phone (732) 902-7000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0092410MedicaidNJ

Other names 2

NPPES NPI Registry
  • HMHMG Complex Care Doing business as
  • Meridian Medical Group Faculty Practice PC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1154379626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-7720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "732-807-0800",
            "fax_number": "732-922-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-807-0800",
            "fax_number": "732-922-0548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Jumping Brook Rd",
            "address_2": "Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077532634",
            "country_code": "US",
            "telephone_number": "732-902-7000",
            "fax_number": "732-481-8464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "327-807-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092410",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMHMG Complex Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Medical Group Faculty Practice PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Meridian Medical Group Faculty Practice PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.