Organization Active NPI

Hackensack Meridian Urgent Care, PC

  • Urgent Care Clinic/Center
  • Freehold, NJ
National Provider Identifier
1285165209
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HACKENSACK MERIDIAN URGENT CARE, PC
Practice address
315 W Main St
Freehold, NJ 07728-2517
Phone
(888) 878-1503
NPI assigned
Mar 22, 2017
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
James Clarke, M.D.NPI 1689665358
Title
Director
Phone
(732) 414-6850

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

315 W Main St
Freehold, NJ 07728-2517

Mailing address

1350 Campus Pkwy
Wall Township, NJ 07753-6821

Other identifiers 1

IdentifierTypeStateIssuer
0567256MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170627000265 NJ Part B Supplier - Clinic/Group Practice 2769751270 Receives reassigned benefits from 105 practitioners
Practice locations: Piscataway, NJ; Clifton, NJ; Neptune City, NJ; Monroe, NJ; Lincoln Park, NJ; Freehold, NJ; Eatontown, NJ; East Rutherford, NJ…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2122780Hackensack Meridian Urgent Care, PC315 Main Street, Freehold, NJ 07728Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

1 Metro Blvd
Ste D
Clifton, NJ 07014
Phone (973) 230-6605

315 W Main St
Freehold, NJ 07728
Phone (732) 431-3373

1181 State Route 36
Hazlet, NJ 07730
Phone (619) 913-3995

31 Boonton Tpke
Lincoln Park, NJ 07035
Phone (848) 308-4603

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2040 State Route 33
Neptune City, NJ 07753
Phone (732) 455-5800

Practitioners & affiliated clinicians

Practitioners 112

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 112

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1285165209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CAMPUS PKWY",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282517",
            "telephone_number": "888-878-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-414-6850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0567256",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.