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HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC NPI 1336203538


NPI Information

NPI: 1336203538
Provider Name: HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC

Former Legal Business Name: MERIDIAN MEDICAL GROUP-PRIMARY CARE PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ
ZIP 07701
Phone: (732) 807-0800
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HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC is a family medicine in Red Bank, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC NPI is 1336203538. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Meridian Medical Group-primary Care Pc.

The provider's business location address is:

331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ
ZIP 07701-688
Phone: (732) 807-0800
Fax: (327) 922-0548

The provider's authorized official is Daniel Varga .
The authorized official title is Director and has the following contact phone number (732) 807-0800.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 3/27/2024.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo

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
10308714MEDICAIDNEW JERSEY

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

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