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HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
NPI 1316744485
Durable Medical Equipment & Medical Supplies in Hackensack, NJ

Active since February 26, 2025CLIA 31D2203662 · Waiver
20 PROSPECT AVE STE 719, HACKENSACK, NJ 07601(551) 996-5002 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hackensack Meridian Health Medical Group - Specialty Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC (NPI 1316744485), doing business as Hackensack Meridian Health Oral & Maxillofacial Surgery, is a healthcare organization registered as a durable medical equipment & medical supplies in Hackensack, New Jersey and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Richard Hand, Senior Vp, as its authorized official.

NPPES Registry Identity

NPI1316744485
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
Location Address20 PROSPECT AVE STE 719Hackensack, NJ 07601-1974
Mailing Address20 Prospect Ave Ste 719Hackensack, NJ 07601-1974 · (551) 996-5002
Phone(551) 996-5002
Organization SubpartNo
Authorized OfficialRichard HandSenior Vp · (732) 481-8529
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1316744485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedDentistTaxonomy 122300000X
20 PROSPECT AVE STE 719, Hackensack, NJ 07601
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Other Names 1

Doing Business AsHackensack Meridian Health Oral & Maxillofacial Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2203662

Hackensack Meridian Health Medical Group Specialty Care, PC · Hackensack, NJ
Active · expires Dec 3, 2026
CLIA Number31D2203662
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorColette M. Knight
Laboratory Phone(201) 342-5360
Laboratory LocationHackensack Meridian Health Medical Group Specialty Care, PC385 Prospect Ave Suite 306, Hackensack, NJ 07601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEONGNOH LEE
Dentist (Oral and Maxillofacial Surgery)
20 PROSPECT AVE STE 719
HACKENSACK, NJ 07601
Bergen County (551) 996-5002
YITZHACK ASULIN, MD, PC
Specialist
20 PROSPECT AVE STE 719
HACKENSACK, NJ 07601
Bergen County (201) 880-5578
HADI A LUTFI DDS
Dentist (Oral and Maxillofacial Surgery)
20 PROSPECT AVE STE 719
HACKENSACK, NJ 07601
Bergen County (551) 996-5002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hackensack Meridian Health Medical Group - Specialty Care PC's NPI number?

The NPI number for Hackensack Meridian Health Medical Group - Specialty Care PC is 1316744485. It was assigned to this organization in the NPPES registry on February 26, 2025. The provider is doing business as Hackensack Meridian Health Oral & Maxillofacial Surgery.

Where is Hackensack Meridian Health Medical Group - Specialty Care PC located?

Hackensack Meridian Health Medical Group - Specialty Care PC is located at 20 Prospect Ave Ste 719, Hackensack, NJ 07601. The listed phone number is (551) 996-5002.

What is Hackensack Meridian Health Medical Group - Specialty Care PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Hackensack Meridian Health Medical Group - Specialty Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2203662) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hackensack Meridian Health Medical Group - Specialty Care PC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.