MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
NPI 1942362587
Specialist in Red Bank, NJ

NPI Status: Active since December 13, 2006

Contact Information

331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ
ZIP 07701
Phone: (732) 807-0800
Fax: (732) 922-0548

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  • Organization
  • Specialist
  • Accepts Insurance

About MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC

This page provides the complete NPI Profile along with additional information for Meridian Medical Group - Specialty Care, Pc, a provider established in Red Bank, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1942362587 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated one year ago. Meridian Medical Group - Specialty Care, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is James Clarke M.d. (Director)

NPI
1942362587
Provider Legal Name
MERIDIAN MEDICAL GROUP - SPECIALTY CARE, PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
331 NEWMAN SPRINGS RD STE 220 RED BANK, NJ 07701
Location Phone
(732) 807-0800
Location Fax
(732) 922-0548
Mailing Address
PO BOX 95000-7725 PHILADELPHIA, PA 19195
Mailing Phone
(732) 807-0800
Mailing Fax
(732) 922-0548
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2006
Last Update Date
09-02-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
4208600000XAllopathic & Osteopathic Physicians

Surgery

(NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES CLARKE M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(732) 807-0800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0126799MEDICAID (05)NJ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942362587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 6 + 6 + 4 + 5 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1942362587.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701
Family Medicine
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701
Psychologist
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701
Surgery (Surgical Critical Care)
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942362587, enumerated as an "organization" on December 13, 2006.

The provider is located at 331 NEWMAN SPRINGS RD STE 220 RED BANK, NJ 07701 and the phone number is (732) 807-0800.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.