Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Doing business as

JFK Hartwyck at Cedar Brook

Practice address

1340 Park Ave
Plainfield, NJ 07060-3227

Phone

(908) 754-3100

Fax

(908) 754-3418

NPI assigned

Nov 2, 2018

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Hand

Title

Senior Finance Administration

Phone

(732) 481-8529

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JFK Hartwyck at Cedar Brook Doing business as

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1497223937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603227",
            "telephone_number": "908-754-3100",
            "fax_number": "732-632-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603227",
            "telephone_number": "908-754-3100",
            "fax_number": "908-754-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SENIOR FINANCE ADMINISTRATION",
        "authorized_official_telephone_number": "732-481-8529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "315101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFK Hartwyck at Cedar Brook",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JFK Hartwyck at Cedar Brook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica N Green, MD
• Carolyn La-Verne Greene, CNM
• Francis Lee Griffin, M.D.
• Victor Patrick Gutierrez Jr., DC
• Julianne Habel
• Tahira Sadiqa Hair, OTR
• Harmony Mental & Behavioral Health Services L.L.C (Harmony Behavioral and Mental health services)
• Ursula D Harry
• Hartwyck West Nursing Home, Inc
• Hartwyck West Nursing Home, Inc (JFK Hartwyck at Cedar Brook)

• Skilled Nursing Facility in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.