NPIMap

Organization Active NPI

Hackensack Meridian Outpatient Services, Inc.

  • Physical Therapist
  • Iselin, NJ
National Provider Identifier
1174498968
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
Practice address
1 Wellbrook PL
Iselin, NJ 08830-1559
Phone
(848) 308-5110
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Richard Hand
Title
SVP, Finance
Phone
(732) 481-8529

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1 Wellbrook PL
Iselin, NJ 08830-1559

Mailing address

60 2ND St FL 4
Hackensack, NJ 07601-2050
Phone (201) 468-4134

Other names 1

  • Hackensack Meridian Rehabilitation Metropark Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318003524 NJ Part B Supplier - Clinic/Group Practice 7113392812 Receives reassigned benefits from 29 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clark, NJ; Eatontown, NJ; Freehold, NJ; Iselin, NJ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hackensack Meridian Outpatient Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1174498968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 2ND ST FL 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012050",
            "telephone_number": "201-468-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLBROOK PL",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301559",
            "telephone_number": "848-308-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "732-481-8529"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Rehabilitation Metropark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iselin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.