Hackensack Meridian Health Medical Group - Complex Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - COMPLEX CARE PC

Doing business as

HMHMG Complex Care

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

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Varga, M.D.NPI 1932164258

Title

Director

Phone

(327) 807-0800

Specialties & licenses 12

Addresses

Other names 2

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations (25 of 217)

Practitioners 1,655

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Alejandra Camacho, DNP, CPNP

  • Pediatric Nurse Practitioner
  • Hackensack, NJ
  • NPI 1801530985
  Medicare reassignment Care Compare group NPD
• Kelly Elaine Crowley, APN

  • Family Nurse Practitioner
  • Hackensack, NJ
  • NPI 1205234903
  Medicare reassignment Care Compare group NPD
• Joshua Glass, MD

  • Pediatrics Physician
  • Hackensack, NJ
  • NPI 1679077432
  Medicare reassignment Care Compare group NPD
• Sharon D'Mello Hilton, M.D.

  • Pediatric Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1639375157
  Medicare reassignment Care Compare group NPD
• Valdis Lelkes, MD

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
  • NPI 1427478270
  Medicare reassignment Care Compare group NPD
• Payal Ameesh Makadia, M.D.

  • Pediatric Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1053639229
  Medicare reassignment Care Compare group NPD
• Laura Young Martin, M.D.

  • Pediatric Surgery Physician
  • Hackensack, NJ
  • NPI 1972861318

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Adam Seth Mayer, MD

  • Pediatric Rheumatology Physician
  • Hackensack, NJ
  • NPI 1689101313
  Medicare reassignment Care Compare group NPD
• Elaine Moustafellos, MD

  • Pediatric Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1962449207
  Medicare reassignment Care Compare group NPD
• Nader John Nakhleh, D.O.

  • Pediatric Pulmonology Physician
  • Neptune, NJ
  • NPI 1598963902
  Medicare reassignment Care Compare group NPD
• Katherine Atienza Orellana, DO

  • Pediatric Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1265643068
  Medicare reassignment Care Compare group NPD
• Francis Patterson, M.D.

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
  • NPI 1477587749
  Medicare reassignment Care Compare group NPD

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

{
    "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": [],
    "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"
        }
    ]
}

• Jessica Haake, O.D.
• Habcore, Inc.
• Daran Haber, MD
• Steven Hack, RN
• Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian Health Nursing & Rehab)
• Hackensack Meridian Health Medical Group - Primary Care PC (HMHMG Primary Care)
• Hackensack Meridian Health Medical Group - Specialty Care PC (HMHMG Specialty Care)
• Hackensack Meridian Health Medical Group - Specialty Care PC
• Hackensack Meridian Outpatient Services, Inc.
• Ahmad John Haddad, MD

• Internal Medicine Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.