# HACKENSACK MERIDIAN AMBULATORY CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033620216
- **Authorized official:** RICHARD HAND (SENIOR FINANCE ADMINISTRATION)
- **Authorized official phone:** (732) 481-8529

## Contact information

- **Practice address:** 415 JACK MARTIN BLVD, BRICK, NJ 08724-7732
- **Practice address phone:** (732) 206-8000
- **Mailing address:** 3349 HWY 138 STE A, WALL TOWNSHIP, NJ 07719-9671
- **Mailing address phone:** (732) 751-3624
- **Mailing address fax:** (732) 280-6855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 12/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6523609 | — | NJ |