Provider Demographics
NPI:1164157624
Name:HACKENSACK MERIDIAN LTACH LLC
Entity Type:Organization
Organization Name:HACKENSACK MERIDIAN LTACH LLC
Other - Org Name:HACKENSACK MERIDIAN LTACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-888-4687
Mailing Address - Street 1:60 2ND ST FL 4
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2050
Mailing Address - Country:US
Mailing Address - Phone:201-468-4134
Mailing Address - Fax:
Practice Address - Street 1:530 NEW BRUNSWICK AVE
Practice Address - Street 2:4TH FLOOR/GREEN
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3654
Practice Address - Country:US
Practice Address - Phone:732-324-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital