Charles Andrew Adams Jr., MD
Individual provider Active NPI Surgery Physician · Hackensack, NJ
NPI 1366447203 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1366447203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25MA06857900 (NJ)
- Practice address
- 20 Prospect Ave Ste 501
Hackensack, NJ 07601-1989 - Phone
- (551) 996-4777
- Fax
- (551) 996-0800
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hackensack Meridian Health Medical Group - Specialty Care PC
Practice addresses (Care Compare)
20 Prospect Ave
Hackensack, NJ 07601-1989
Phone (551) 996-5960
Hospital & facility affiliations
- Hackensack University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250910001448 | NJ | Practitioner - General Surgery | 1355301904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06857900 | NJ | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Surgical Critical Care | Current |
Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past |
Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Surgery | Past | Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
20 Prospect Ave
Ste 501
Hackensack, NJ 07601
Phone (201) 487-3400
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
Interoperability endpoints
- cadams8417@brownhealth.medalliesdirect.net
- charles.adams.usasurg@direct-address.net
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 25MA06857900 | NJ | |
| Surgery Physician | 208600000X | 25MA06857900 | NJ | Yes |
Addresses
Primary practice location
20 Prospect Ave Ste 501
Hackensack, NJ 07601-1989
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625
Other practice location 1
2 Dudley St
Ste 470
Providence, RI 02905-3236
Phone (401) 444-0369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003676 | Medicaid | RI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Charles.Adams.usasurg@direct-address.net | Direct |
Other providers in Hackensack, NJ
- Active Center for Health and Wellness
- Active Orthopaedics and Sports Medicine, PA
- Active Orthopedic Specialists, LLC
- Active Orthopedics & Sports Medicine LLC
- Active Orthopedics and Sports Medicine, LLC
- Lawrence George Adelsohn
- Nicole Adiatu
- Michael Adjei
- Adriana Mendietta-Saeboe DDS PA
- Advanced Cardiovascular Interventions, PA
All providers in Hackensack, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.