NPIMap

Organization Active NPI

Hackensack Meridian Ambulatory Care, Inc

  • Community/Retail Pharmacy
  • Old Bridge, NJ
National Provider Identifier
1962097121
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HACKENSACK MERIDIAN AMBULATORY CARE, INC
Practice address
3 Hospital PLZ Ste 101
Old Bridge, NJ 08857-3084
Phone
(732) 360-3450
NPI assigned
Mar 9, 2021
Organization subpart
Yes
Parent organization
HMH HOSPITALS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Robert J Schenk
Title
Vice President
Phone
(732) 836-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3 Hospital PLZ Ste 101
Old Bridge, NJ 08857-3084

Mailing address

3 Hospital PLZ Ste 101
Old Bridge, NJ 08857-3084
Phone (732) 360-3450

Other identifiers 1

IdentifierTypeStateIssuer
28RS00782900OtherNJNJ BOARD OF PHARMACY PERMIT

Other names 2

  • HMH PHARMACY AT OLD BRIDGE MEDICAL CENTER Doing business as
  • HMH PHARMACY AT RARITAN BAY MEDICAL CENTER-OLD BRIDGE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240703002588 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 8527978774 3 other NPIs on this enrollment
Practice locations: Old Bridge, NJ; North Bergen, NJ; Eatontown, NJ; Clifton, NJ
O20250812002645 NJ DME Supplier - Pharmacy 8527978774 Practice locations: Old Bridge, NJ

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Meridian Home Care SVC Inc25 organizations share this tax ID, including this one
Part of
HMH Hospitals Corporation

Other organizations with this tax ID 24

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

View all 24

Member of 1

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

Locations

1759 State Highway 88
Ste 100
Brick, NJ 08724
Phone (732) 206-8100

80 Nautilus Dr
Manahawkin, NJ 08050
Phone (609) 489-0252

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Health Services of New JerseyWoodland Park, NJ, CCN 317058 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control		 May 1, 2017
May 1, 2017
VHS Hospice Services of New JerseyWoodland Park, NJ, CCN 311508 Hospice 5% Or Greater Direct Ownership Interest (50%) May 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1962097121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ STE 101",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573084",
            "telephone_number": "732-360-3450",
            "fax_number": "732-360-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ STE 101",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573084",
            "telephone_number": "732-360-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MERIDIAN AMBULATORY CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HMH HOSPITALS CORPORATION",
        "enumeration_date": "2021-03-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "SCHENK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-836-4545"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY PERMIT",
            "identifier": "28RS00782900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HMH PHARMACY AT OLD BRIDGE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HMH PHARMACY AT RARITAN BAY MEDICAL CENTER-OLD BRIDGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.