HACKENSACK MERIDIAN NUTRITION


Address: 27 S Cooks Bridge Rd Ste 1-03, Jackson, NJ 08527-2460
Phone: 7329281126

HACKENSACK MERIDIAN NUTRITION (NPI# 1063057024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063057024
Entity Type Organization
Organization Name HACKENSACK MERIDIAN NUTRITION
Practice Address 27 S Cooks Bridge Rd Ste 1-03
Jackson
NJ 08527-2460
Practice Telephone 7329281126
Practice Fax Number 6096011162
Mailing Telephone 7329281126
Mailing Fax Number 6096011162
Enumeration Date 2019-11-14
Last Update Date 2020-03-09
Authorized Official Name JAMES CLARKE (MD)
Authorized Official Telephone 7328070877
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 27 S COOKS BRIDGE RD STE 1-03
City JACKSON
State NJ
Zip Code 08527-2460

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSON
Zip Code 08527

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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