Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Practice address

7600 River Rd
North Bergen, NJ 07047-6217

Phone

(201) 854-8016

Fax

(201) 869-5813

NPI assigned

Oct 19, 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

Other names 1

• The Harborage Doing business as

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1215448097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 HWY 138 BLD C",
            "address_2": "SUITE A",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-751-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-854-8016",
            "fax_number": "201-869-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "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": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0637815",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Harborage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Harborage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Gutierrez, COTA
• Michael Habib, MD
• Armia Habil, MD
• Hackensack Meridian Ambulatory Care, Inc
• Hackensack Meridian Ambulatory Care, Inc
• Hackensack Meridian Ambulatory Care, Inc.
• Hackensack Meridian Health Medical Group - Specialty Care PC
• Mario Haddad, MD
• Jennifer Hahn, NURSE PRACTIONER
• Basel Hajal, MD

• Skilled Nursing Facility in North Bergen, NJ
• Providers in North Bergen, 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.