La Nueva Mercedes Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00328400 Issued in NJ

Legal business name

LA NUEVA MERCEDES INC.

Doing business as

La Nueva Mercedes Pharmacy -Medical Supply

Practice address

500 River St
Paterson, NJ 07524-1903

Phone

(973) 279-2800

Fax

(973) 279-2197

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Blanca Gonzalez

Title

Biller/Manager

Phone

(973) 279-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Nueva Mercedes Pharmacy -Medical Supply Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1053412585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241903",
            "telephone_number": "973-279-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241903",
            "telephone_number": "973-279-2800",
            "fax_number": "973-279-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA NUEVA MERCEDES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "BILLER/MANAGER",
        "authorized_official_telephone_number": "973-279-2800",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00328400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2821907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Nueva Mercedes Pharmacy -Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Djohan Kusnan, MD
• Barbara C. Kwasnik, LCSW
• Stephen Kwon, MD
• L and T Transport Service LLC
• L.J. Greiner and Sons Inc.
• James Labagnara, M.D.
• Ingrid Rachell Laboriel-Myrie
• Maykol Lazaro Lacorte
• Maria Lagattuta, MSW, LCSW
• Jeffrey Thomas Lake, DO

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.