NPIMap

Organization Active NPI

Hackensack Meridian Health Medical Group - Specialty Care PC

  • Psychologist
  • Red Bank, NJ
National Provider Identifier
1609593722
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
Practice address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Phone
(732) 807-0877
Fax
(732) 922-0548
NPI assigned
Oct 20, 2022
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HACKENSACK UNIVERSITY MEDICAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Daniel Varga
Title
Director
Phone
(732) 807-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688

Mailing address

PO Box 95000-4535
Philadelphia, PA 19195-4535
Phone (732) 807-0800

Other names 1

  • Hackensack University Medical Group, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
North Jersey Primary Care8 organizations share this tax ID, including this one
Part of
North Jersey Primary Care

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1609593722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-4535",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954535",
            "telephone_number": "732-807-0800",
            "fax_number": "732-922-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-807-0877",
            "fax_number": "732-922-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HACKENSACK UNIVERSITY MEDICAL GROUP, PC",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-807-0800"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack University Medical Group, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.