Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Doing business as

Bayshore Healthcare Center

Practice address

715 N Beers St
Holmdel, NJ 07733-1503

Phone

(732) 847-3700

NPI assigned

Oct 16, 2017

Last updated

Dec 27, 2021By the provider in NPPES

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 1

• Bayshore Healthcare Center 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": "1912418195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 HWY 138 BLD 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": "715 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331503",
            "telephone_number": "732-847-3700"
        }
    ],
    "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": "315252",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381071",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Negin Noorchashm Griffith, M.D.
• Kenneth W Groman, DMD
• Daniel H. Grossman, D.C.
• Hackensack Meridian Ambulatory Care, Inc. (Bayshore HEalthcare Center)
• Hackensack Meridian Ambulatory Care, Inc. (The Willows At Holmdel)
• Hackensack Meridian Living at Holmdel, LLC (Villas of Holmdel)
• Nicole Hadjiloucas
• David Handlin, MD
• Iftikhar Haq
• Harbor Wellness & Recovery Center

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