Organization Active NPI

Alex M. Mercado, M.D., L.L.C.

  • Internal Medicine Physician
  • Flanders, NJ
National Provider Identifier
1093979361
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA63545 Issued in NJ
Legal business name
ALEX M. MERCADO, M.D., L.L.C.
Practice address
191 US Highway 206
Flanders, NJ 07836-9002
Phone
(973) 584-0045
Fax
(973) 584-0094
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Alex M Mercado, MDNPI 1093893232
Title
Managing Member
Phone
(973) 584-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA63545 NJ Primary

Addresses

Primary practice location

191 US Highway 206
Flanders, NJ 07836-9002

Mailing address

191 US Highway 206
Flanders, NJ 07836-9002
Phone (973) 584-0045

Other identifiers 1

IdentifierTypeStateIssuer
6961908MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1093979361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 US HIGHWAY 206",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369002",
            "telephone_number": "973-584-0045",
            "fax_number": "973-584-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 US HIGHWAY 206",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369002",
            "telephone_number": "973-584-0045",
            "fax_number": "973-584-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX M. MERCADO, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-584-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA63545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6961908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.