Organization Active NPI

Hazlet Health Care

  • Primary Care Clinic/Center
  • Hazlet, NJ
National Provider Identifier
1538361878
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA05277600 Issued in NJ
Legal business name
HAZLET HEALTH CARE
Practice address
3253 State Route 35
Suite 1
Hazlet, NJ 07730-1544
Phone
(732) 264-5656
Fax
(732) 264-8625
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Anthony Joseph Ricca, M.D.NPI 1356365167
Title
Owner
Phone
(732) 264-5656

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
Primary Care Clinic/Center 261QP2300X 25MA05277600 NJ Primary

Addresses

Primary practice location

3253 State Route 35
Suite 1
Hazlet, NJ 07730-1544

Mailing address

3253 State Route 35
Suite 1
Hazlet, NJ 07730-1544
Phone (732) 264-5656

National Provider Directory

National Provider Directory

Locations

3253 State Route 35
Ste 1
Hazlet, NJ 07730
Phone (732) 264-5656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1538361878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 STATE ROUTE 35",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301544",
            "telephone_number": "732-264-5656",
            "fax_number": "732-264-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 STATE ROUTE 35",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301544",
            "telephone_number": "732-264-5656",
            "fax_number": "732-264-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLET HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-264-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA05277600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.