Provider Type Icon

HACKENSACK MERIDIAN AMBULATORY CARE INC. NPI 1215437553


NPI Information

NPI: 1215437553
Provider Name: HACKENSACK MERIDIAN AMBULATORY CARE, INC.

Doing Business As: HACKENSACK MERIDIAN AT HOME INFUSION

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 31D2182796

Address:
80 INDUSTRIAL RD STE G
LODI, NJ
ZIP 07644
Phone: (973) 785-7350
Get Directions

HACKENSACK MERIDIAN AMBULATORY CARE, INC. is a home infusion therapy pharmacy pharmacy in Lodi, NJ. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. HACKENSACK MERIDIAN AMBULATORY CARE, INC. NPI is 1215437553. The provider is registered as an organization entity type.
The provider Is Doing Business As Hackensack Meridian At Home Infusion.

The provider's business location address is:

80 INDUSTRIAL RD STE G
LODI, NJ
ZIP 07644
Phone: (973) 785-7350
Fax: (973) 785-7351

The provider's authorized official is Michelle Mendelson .
The authorized official title is Senior Vice President and has the following contact phone number (732) 751-3713.

The CLIA number assigned to this NPI record is 31D2182796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2018 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251F00000XHome InfusionNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10756091MEDICAIDNEW JERSEY
228RS00764400OTHERNEW JERSEYNEW JERSEY BOARD OF PHARMACY
3HP0278600OTHERNEW JERSEYNEW JERSEY DIVISION OF CONSUMER AFFAIRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.