NPIMap

Organization Active NPI

Hackensack Meridian Health Medical Group - Specialty Care PC

Doing business as HMHMG Specialty Care

  • Surgical Critical Care Physician
  • Red Bank, NJ
National Provider Identifier
1215989249
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
Doing business as
HMHMG Specialty 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 17, 2006
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Daniel Varga
Title
Director
Phone
(732) 807-0800

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU
Transplant Surgery Physician 204F00000X NU
MOHS-Micrographic Surgery Physician 207ND0101X NU
Pediatric Dermatology Physician 207NP0225X NU
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU
Clinical Genetics (M.D.) Physician 207SG0201X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Orthopaedic Surgery Physician 207X00000X NU
Pediatrics Physician 208000000X NU
Psychiatry Physician 2084P0800X NU
Surgical Critical Care Physician 2086S0102X NU Primary
Urology Physician 208800000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

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

Mailing address

PO Box 95000-4535
Philadelphia, PA 19195-0001
Phone (732) 807-0800

Other identifiers 2

IdentifierTypeStateIssuer
7501307MedicaidNJ
CN6543OtherRR MEDICARE

Other names 2

  • HMHMG Specialty Care Doing business as
  • Hackensack University Medical Group Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000524 NJ Part B Supplier - Clinic/Group Practice 9133032519 Receives reassigned benefits from 3,162 practitioners

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 52)

544 Broadway
Bayonne, NJ 07002
Phone (201) 299-4611

459 Jack Martin Blvd
Ste 7
Brick, NJ 08724
Phone (732) 458-8300

1 Clifton Blvd
Ste 2B
Clifton, NJ 07011

1 Metro Blvd
Ste 2B
Clifton, NJ 07014
Phone (973) 230-6616

620 Cranbury Rd
Ste 111
East Brunswick, NJ 08816
Phone (732) 238-2662

135 Highway 35
Ste 4
Eatontown, NJ 07724

4 Industrial Way W
Ste 100
Eatontown, NJ 07724
Phone (732) 935-0407

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

102 James St
Ste 303
Edison, NJ 08820
Phone (848) 205-2620

2 State Route 27
Ste 301
Edison, NJ 08820
Phone (732) 549-7380

225 May St
Ste A
Edison, NJ 08837
Phone (732) 346-5400

80 James St
Fl 2
Edison, NJ 08820
Phone (732) 635-9300

200 Grand Ave
Ste 200
Englewood, NJ 07631
Phone (201) 541-1220

200 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 541-1220

10 1st St
Hackensack, NJ 07601
Phone (201) 342-8130

120 River St
Hackensack, NJ 07601
Phone (551) 996-1888

20 Prospect Ave
Ste 100
Hackensack, NJ 07601
Phone (201) 996-3166

20 Prospect Ave
Ste 406
Hackensack, NJ 07601
Phone (551) 996-2608

20 Prospect Ave
Ste 600
Hackensack, NJ 07601
Phone (201) 488-1036

20 Prospect Ave
Ste 602
Hackensack, NJ 07601
Phone (201) 809-3000

20 Prospect Ave
Ste 807
Hackensack, NJ 07601
Phone (201) 342-7727

30 Prospect Ave
#4E90
Hackensack, NJ 07601
Phone (201) 996-2755

30 Prospect Ave
Rm 251
Hackensack, NJ 07601
Phone (551) 996-5329

30 Prospect Ave
Rm 377
Hackensack, NJ 07601
Phone (551) 996-5207

30 Prospect Ave
Ste 3RD
Hackensack, NJ 07601
Phone (551) 996-3051

Practitioners & affiliated clinicians

Practitioners 3,315

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.

View all 3,315

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1215989249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-4535",
            "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": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-807-0800"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7501307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN6543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMHMG Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hackensack University Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hackensack University Medical Group",
            "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 Jun 4, 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.