Organization
MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
Active
Parent organization
NORTHERN MONMOUTH COUNTY MEDICAL
Other names
Hackensack Meridian Medical Group - One Medical PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN MONMOUTH COUNTY MEDICAL
Authorized official
JAMES ALOYSIUS CLARKE (EVP AND PRESIDENT PHYSICIAN ENTERPR)
(732) 765-6317
Entity
Organization
Contact information
Practice address
27 EDGEWATER TOWNE CTR, EDGEWATER, NJ 07020-1246
(888) 663-6331
Mailing address
PO BOX 95000-8923, PHILADELPHIA, PA 19195-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/30/2024
Last updated
05/01/2026
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