Active NPI
Meridian Hospitals Corporation
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neptune, NJ
National Provider Identifier
1295065787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- MERIDIAN HOSPITALS CORPORATION
- Practice address
- 2441 State Highway 33
Fortunato Place
Neptune, NJ 07753-3763 - Phone
- (732) 776-4274
- Fax
- (732) 776-4753
- NPI assigned
- Jan 5, 2010
- Organization subpart
- Yes
- Parent organization
- MERIDIAN HOSPITALS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Gantner
- Title
- Senior VP, Finance & Cfo
- Phone
- (732) 751-7520
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
2441 State Highway 33
Fortunato Place
Neptune, NJ 07753-3763
Mailing address
2020 6TH Ave
Neptune, NJ 07753-6123
Phone (732) 897-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3675700 | Medicaid | NJ |
Other names 1
- Jane H. Booker Dialysis Center- JSUMC
National Provider Directory
National Provider Directory- Part of
- Jersey Shore University Medical Center Pedi Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1295065787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 6TH AVE",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536123",
"telephone_number": "732-897-7130",
"fax_number": "732-897-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 STATE HIGHWAY 33",
"address_2": "FORTUNATO PLACE",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077533763",
"telephone_number": "732-776-4274",
"fax_number": "732-776-4753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HOSPITALS CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERIDIAN HOSPITALS CORPORATION",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "GANTNER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SENIOR VP, FINANCE & CFO",
"authorized_official_telephone_number": "732-751-7520",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3675700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jane H. Booker Dialysis Center- JSUMC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.