Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Doing business as

Meridian Nursing & Rehabilitation at Shrewsbury
Meridian Nursing and Rehabilitation at Shrewsbury

Practice address

89 Avenue at the CMN
Shrewsbury, NJ 07702-4579

Phone

(732) 676-5800

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Richard Hand

Title

Senior Finance Administration

Phone

(732) 481-8529

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Meridian Nursing & Rehabilitation at Shrewsbury Doing business as
• Meridian Nursing and Rehabilitation at Shrewsbury Doing business as

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1659882835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 HWY 138 BUILDING C",
            "address_2": "SUITE A",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-751-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 AVENUE AT THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024579",
            "telephone_number": "732-676-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "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"
    },
    "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": "315136",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626686",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Nursing & Rehabilitation at Shrewsbury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Nursing and Rehabilitation at Shrewsbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annmarie H Gray, FNP-BC
• Bryan Michael Graye, D.M.D.
• Michelle Antoinette Greco, LAC, NCC
• Robert B Grossman, M.D.
• Glenn Guarino
• Kathleen Sarah Hanley
• Debra Harris
• Jacob Hartman Sr., PSY.D.
• Elizabeth Haubrich, CRNA
• Haven for Healing

• Skilled Nursing Facility in Shrewsbury, NJ
• Providers in Shrewsbury, 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.