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MERIDIAN MEDICAL GROUP-PRIMARY CARE PC NPI 1245997360


NPI Information

NPI: 1245997360
Provider Name: MERIDIAN MEDICAL GROUP-PRIMARY CARE PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-2000
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MERIDIAN MEDICAL GROUP-PRIMARY CARE PC is an emergency medicine in Hackensack, NJ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MERIDIAN MEDICAL GROUP-PRIMARY CARE PC NPI is 1245997360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-915
Phone: (551) 996-2000

The provider's authorized official is James Aloysius Clarke .
The authorized official title is Evp And President and has the following contact phone number (732) 765-6317.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

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: 11/14/2023

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.