NPIMap

Organization Active NPI

HMH Hospitals Corporation

Doing business as Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Holmdel, NJ
National Provider Identifier
1740907336
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HMH HOSPITALS CORPORATION
Doing business as
Hackensack Meridian Diagnostic Laboratory
Practice address
727 N Beers St
Holmdel, NJ 07733-1514
Phone
(732) 739-5847
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Frank Pipas
Title
Evp, Financial Services
Phone
(551) 497-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

727 N Beers St
Holmdel, NJ 07733-1514

Mailing address

60 2ND St FL 4
Hackensack, NJ 07601-2050
Phone (201) 468-4134

Other names 1

  • Hackensack Meridian Diagnostic Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180206000835 NJ Part A Provider - Hospital 9032181847 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Holmdel, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740907336. Details of each certification follow.

Hospital certification: CCN 310112

Legal name
HMH HOSPITALS CORPORATION
Doing business as
BAYSHORE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 1, 1972
Last certification
Jul 19, 2024
Beds
225
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 1, 2010 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2018 in NJ
Enrollment address
727 North Beers St
Holmdel, NJ 77331514
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Bayshore Medical CenterCCN 310112 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
HMH Hospitals Corporation45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Gloria D Martini Individual Corporate DirectorBoard Member Jan 1, 2018
Praful Raja Individual Corporate DirectorBoard Member Jan 1, 2022
Frank L Fekete Individual Corporate DirectorChair, HMH Board of Trustees Jan 1, 2023
Richard Henning Individual Corporate DirectorImmediate Past Chairperson Jan 1, 2023
Edward Piccinich Individual Corporate DirectorBoard Member Jan 1, 2018
Thomas R Lake Individual Corporate DirectorTreasurer Jan 1, 2023
Marvin Goldstein Individual Corporate DirectorBoard Member Jan 1, 2023
Edward Russo Individual Corporate DirectorBoard Member Jan 1, 2023
William J Murray Individual Corporate DirectorBoard Member Jan 1, 2018
Frank Vuono Individual Corporate DirectorSecretary Jan 1, 2023
Walter a. Wynkoop Individual Corporate DirectorBoard Member Jan 1, 2023
William Lawless Individual Corporate DirectorBoard Member Jan 1, 2023
Rosemarie Sorce Individual Corporate DirectorChairperson Jan 1, 2023
Shawn Reynolds Individual Corporate DirectorVice Chairperson Jan 1, 2023
Richard Hand Individual Corporate OfficerSenior VP-Finance Jan 1, 2023
Gregorio J Guillen Individual Corporate DirectorBoard Member Jan 1, 2023
Kathryn Gibbons Individual Corporate DirectorSenior VP - Budget Sep 1, 2023
Christopher Rotio Individual Corporate DirectorBoard Member Jan 1, 2022
Pranaychandra J Vaidya Individual Corporate DirectorBoard Member Jan 1, 2023
Luke Kealy Individual Corporate DirectorBoard Member Jan 1, 2023
Andria Schneiderman Individual Corporate DirectorBoard Member Jan 1, 2018
John J Wilcha Individual Corporate DirectorBoard Member Jan 1, 2018
Hackensack Meridian Health Inc Organization, Edison, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2018 100%
Kevin Field Individual Corporate DirectorDirector-Reimbursement Jan 1, 2021
James Derosa Individual Corporate OfficerExecutive Vice President, Finance Jan 1, 2023
Robert C Garrett Individual Corporate OfficerCeo HMH Hospitals Corporation Jan 1, 2023
Corporate DirectorCeo HMH Hospitals Corp Jan 1, 2023
Steve P Lisser Individual Corporate DirectorChair Medical Council Jan 1, 2023
Mark S Stauder Individual Corporate OfficerCoo President HMH Hospitals Corp Jan 1, 2023
Corporate DirectorCoo, Pres HMH Hospitals Corp Jan 1, 2023
W-2 Managing EmployeeChief Operating Officer Jan 1, 2022
Aida P Capo Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 689

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

View all 689

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1740907336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 2ND ST FL 4",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012050",
            "telephone_number": "201-468-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331514",
            "telephone_number": "732-739-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMH HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "PIPAS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EVP, FINANCIAL SERVICES",
        "authorized_official_telephone_number": "551-497-1585"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Diagnostic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.