NPIMap

Organization Active NPI

Hackensack Meridian Ambulatory Care, Inc.

Doing business as Hackensack Meridian Hospice

  • Community Based Hospice Care Agency
  • Neptune, NJ
National Provider Identifier
1629164074
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22440 Issued in NJ
Legal business name
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Doing business as
Hackensack Meridian Hospice
Practice address
1340 Campus Parkway Suite A3
Neptune, NJ 07753
Phone
(732) 751-3750
Fax
(732) 751-3751
NPI assigned
Oct 5, 2006
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Richard Hand
Title
Authorized Official
Phone
(732) 751-3713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22440 NJ Primary
Community Based Hospice Care Agency 251G00000X 22747 NJ

Addresses

Primary practice location

1340 Campus Parkway Suite A3
Neptune, NJ 07753

Mailing address

1340 Campus Pkwy Ste A3
Wall Township, NJ 07753-6830
Phone (732) 751-3750

Other practice location 1

80 Nautilus Dr
Manahawkin, NJ 08050-2447
Phone (609) 489-0252

Other identifiers 15

IdentifierTypeStateIssuer
1077948OtherNJHORIZON NJ HEALTHCARE MER
311533OtherNJUNITED HEALTHCARE
311533OtherNJEMPIRE BLUE CROSS BLUE SH
311533BOtherNJPHCS
A896553OtherNJOXFORD
2K0104OtherNJHEALTHNET ROUTINE
311533OtherNJHORIZON BLUE CROSS BLUE S
40682OtherNJAMERIGROUP
7860200MedicaidNJ
IL8654OtherNJHEALTHNET INPATIENT AND R
206864OtherNJUNIFORM FAMILY HEALTH SER
311533OtherNJAMERICHOICE
311533BOtherNJFIRST HEALTH
1027553OtherNJAETNA
311533OtherNJDEVON

Other names 1

  • Hackensack Meridian Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030606000011 NJ Part A Provider - Hospice 8527978774 Practice locations: Iselin, NJ; Manahawkin, NJ; Neptune, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629164074. Details of each certification follow.

Hospice certification: CCN 311533B

Legal name
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Doing business as
HACKENSACK MERIDIAN HOSPICE
Organization structure
CorporationNon-profit
Incorporated
Apr 29, 1986 in NJ
Enrollment address
1340 Campus Pkwy
Ste A3
Neptune, NJ 07753-6830

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hackensack Meridian HospiceCCN 311533
Ownership
For-Profit
Certified
Feb 14, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Meridian Home Care SVC Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Kirkos Individual Corporate DirectorBoard Member Jan 1, 2022
Gloria D Martini Individual Corporate DirectorBoard Member Mar 1, 2017
Ulises E Diaz Individual Corporate DirectorBoard Member Mar 1, 2017
James M Bollerman Individual Corporate DirectorBoard Treasurer Jan 1, 2024
Frank L Fekete Individual Corporate DirectorBoard Member Mar 27, 2024
Christopher D Maher Individual Corporate DirectorBoard Chair Jan 1, 2024
Domenic M Dipiero Individual Corporate DirectorVice Chair Jan 1, 2024
Keith T Banks Individual Corporate DirectorEx-Officio Board Member Jan 1, 2024
George T Croonquist Individual Corporate DirectorBoard Member Jan 1, 2022
William J Murray Individual Corporate DirectorBoard Member Jan 1, 2022
Maris a Lown Individual Corporate DirectorBoard Member Apr 1, 1999
William Crane Individual Corporate DirectorBoard Member Jan 1, 2022
Richard Hand Individual Corporate OfficerSenior VP Finance Dec 1, 2023
James Renna Individual Corporate DirectorBoard Member Jan 1, 2022
Ben J Geishauser Individual W-2 Managing EmployeeMD; Apr 24, 2025
Dawn M Jacobson Individual W-2 Managing EmployeeSenior VP Jan 1, 2024
John J Wilcha Individual Corporate DirectorBoard Member Jan 1, 2022
William Hickey Individual Corporate DirectorBoard Member Jan 1, 2022
Hackensack Meridian Health Inc Organization, Edison, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
James Derosa Individual Corporate OfficerSenior VP Finance Dec 1, 2023
Robert C Garrett Individual Corporate DirectorEx-Officio Board Member Mar 1, 2017
Marie D Mackanic Individual Corporate OfficerNetwork Controller Dec 1, 2023
Mark S Stauder Individual Corporate OfficerPresident Jan 1, 2022
Corporate DirectorBoard President Jun 16, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Health Services of New JerseyWoodland Park, NJ, CCN 317058 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control		 May 1, 2017
May 1, 2017
VHS Hospice Services of New JerseyWoodland Park, NJ, CCN 311508 Hospice 5% Or Greater Direct Ownership Interest (50%) May 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Vhsnj at Home, LLC

    dba VHS Hospice Services of New Jersey

    • Community Based Hospice Care Agency
    • Woodland Park, NJ
    • NPI 1174063200

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Vhsnj at Home, LLC

    dba Visiting Health Services of New Jersey

    • Home Health Agency
    • Woodland Park, NJ
    • NPI 1518407642

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 162

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 162

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1629164074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CAMPUS PKWY STE A3",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536830",
            "telephone_number": "732-751-3750",
            "fax_number": "732-751-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CAMPUS PARKWAY SUITE A3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-751-3750",
            "fax_number": "732-751-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Nautilus Dr",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502447",
            "country_code": "US",
            "telephone_number": "609-489-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "HAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-751-3713"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22440",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTHCARE MER",
            "identifier": "1077948",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "311533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "311533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "311533B",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A896553",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ROUTINE",
            "identifier": "2K0104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE S",
            "identifier": "311533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "40682",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7860200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INPATIENT AND R",
            "identifier": "IL8654",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM FAMILY HEALTH SER",
            "identifier": "206864",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "311533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "311533B",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1027553",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "311533",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.