Active NPI
Santiago Augusto Garcia Merino, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1063860823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD470006
- Practice address
- 1901 1St Ave
New York, NY 10029-7404 - Phone
- (212) 423-7155
- NPI assigned
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D89924 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | MD470006 | PA | Primary |
Addresses
Primary practice location
1901 1St Ave
New York, NY 10029-7404
Mailing address
111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922
Other practice location 1
110 Chambers Hill Dr
Chambersburg, PA 17201-7301
Phone (717) 709-7930
Other practice location 2
11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1063860823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7922",
"fax_number": "717-263-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297404",
"telephone_number": "212-423-7155"
}
],
"practiceLocations": [
{
"address_1": "110 Chambers Hill Dr",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172017301",
"country_code": "US",
"telephone_number": "717-709-7930",
"fax_number": "717-709-7930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11116 Medical Campus Rd Ste 2989",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426710",
"country_code": "US",
"telephone_number": "301-766-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA MERINO",
"first_name": "SANTIAGO",
"middle_name": "AUGUSTO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D89924",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD470006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.