Mercy K Williams

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

20 Park St
Fonda, NY 12068-4830

Phone

(518) 853-3531

Fax

(518) 853-8218

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mercy K Ethangatha Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1104305382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "FONDA",
            "state": "NY",
            "postal_code": "120681500",
            "telephone_number": "518-853-3531",
            "fax_number": "518-853-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK ST",
            "city": "FONDA",
            "state": "NY",
            "postal_code": "120684830",
            "telephone_number": "518-853-3531",
            "fax_number": "518-853-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MERCY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCY",
            "last_name": "ETHANGATHA",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Stuart Palmer
• Twin Pine Family Chiropractic LLC (Twin Pine Family Chiropractic)
• Caseandra R Viera
• Melissa Vrooman
• Kevin Walter Wieczenski

• Case Management Agency in Fonda, NY
• Providers in Fonda, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.