Active NPI
Meridian Health
- General Acute Care Hospital
- Neptune, NJ
National Provider Identifier
1376896290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 37AC00133800
- Legal business name
- MERIDIAN HEALTH
- Practice address
- 1200 Jumping Brook Rd
Building 5, Suite 201-202
Neptune, NJ 07753-2634 - Phone
- (732) 643-4400
- Fax
- (732) 643-4378
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mallory Chosak, M.S., LAC, NCC
- Title
- Clinical Therapist II
- Phone
- (732) 643-4364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 37AC00133800 | NJ | Primary |
Addresses
Primary practice location
1200 Jumping Brook Rd
Building 5, Suite 201-202
Neptune, NJ 07753-2634
Mailing address
1200 Jumping Brook Rd
Building 5, Suite 201-202
Neptune, NJ 07753-2634
Phone (732) 643-4400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1376896290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 JUMPING BROOK RD",
"address_2": "BUILDING 5, SUITE 201-202",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532634",
"telephone_number": "732-643-4400",
"fax_number": "732-643-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 JUMPING BROOK RD",
"address_2": "BUILDING 5, SUITE 201-202",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532634",
"telephone_number": "732-643-4400",
"fax_number": "732-643-4378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "CHOSAK",
"authorized_official_first_name": "MALLORY",
"authorized_official_title_or_position": "CLINICAL THERAPIST II",
"authorized_official_telephone_number": "732-643-4364",
"authorized_official_credential": "M.S., LAC, NCC"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "37AC00133800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.