Hackensack Meridian Ambulatory Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Doing business as

Hackensack Meridian Haven Hospice

Practice address

80 James St
Edison, NJ 08820-3938

Phone

(732) 321-7769

Fax

(732) 744-5531

NPI assigned

Apr 24, 2019

Last updated

Feb 3, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HMH RESIDENTIAL CARE, INCAs reported in NPPES

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

Authorized official

Name

Michelle Mendelson

Title

Senior Vice President

Phone

(732) 751-3713

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hackensack Meridian Haven Hospice Doing business as

Part of

Meridian Home Care SVC Inc

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1932763091",
    "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": "732-751-3700",
            "fax_number": "732-751-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7769",
            "fax_number": "732-744-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HMH RESIDENTIAL CARE, INC",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "732-751-3713"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5171601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Meridian Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Habib, MD
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• Hackensack Meridian Health Medical Group - Specialty Care PC (Hackensack Meridian Health Oral & Maxillofacial Surgery)
• Joshua Haimi, MD
• Hair in a Pinch, LLC
• Melissa Paige Hajduk
• Hal Ornstein Et Al PTR (Affiliated Foot and Ankle Center LLP)

• Community Based Hospice Care Agency in Edison, NJ
• Providers in Edison, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.