NPIMap

Organization Active NPI

Meridian Hospitals Corporation

Doing business as Jersey Shore University Medical Center- Renal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Neptune, NJ
National Provider Identifier
1851399042
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MERIDIAN HOSPITALS CORPORATION
Doing business as
Jersey Shore University Medical Center- Renal Dialysis
Practice address
1945 Route 33
Neptune, NJ 07753-4859
Phone
(732) 775-5500
NPI assigned
Jul 12, 2005
Organization subpart
Yes
Parent organization
MERIDIAN HOSPITALS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Mr. John Gantner
Title
Senior VP, Finance & Ceo
Phone
(732) 751-7520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

1945 Route 33
Neptune, NJ 07753-4859

Mailing address

2020 6TH Ave
Neptune City, NJ 07753-6109
Phone (732) 897-7130

Other identifiers 1

IdentifierTypeStateIssuer
3675700MedicaidNJ

Other names 1

  • Jersey Shore University Medical Center- Renal Dialysis Doing business as

National Provider Directory

National Provider Directory
Part of
Meridian Hospitals Corporation Inc Dba Jersey Shore University Medic

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1851399042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 6TH AVE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536109",
            "telephone_number": "732-897-7130",
            "fax_number": "732-897-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-775-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOSPITALS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN HOSPITALS CORPORATION",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GANTNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SENIOR VP, FINANCE & CEO",
        "authorized_official_telephone_number": "732-751-7520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3675700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore University Medical Center- Renal Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.