=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366355786
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2026
-----------------------------------------------------
Last Update Date | 09/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 331 NEWMAN SPRINGS RD STE 304-1
-----------------------------------------------------
City | RED BANK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07701-5688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-530-2528
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 2ND ST FL 4
-----------------------------------------------------
City | HACKENSACK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07601-2050
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-468-4134
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP, FINANCE
-----------------------------------------------------
Name | RICHARD HAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 732-481-8529
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC3500X
-----------------------------------------------------
Taxonomy Name | Cardiac Rehabilitation Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QR0404X
-----------------------------------------------------
Taxonomy Name | Cardiac Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------