A T Mercuri DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SC001586L Issued in PA

Legal business name

A T MERCURI DPM

Practice address

1416 Monroe Ave
Suite 205
Dunmore, PA 18509-2477

Phone

(570) 344-8686

Fax

(570) 344-2841

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anthony T Mercuri Jr., D.P.M.

Title

Owner

Phone

(570) 344-8686

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1114102829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MONROE AVE",
            "address_2": "SUITE 205",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092477",
            "telephone_number": "570-344-8686",
            "fax_number": "570-344-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 MONROE AVE",
            "address_2": "SUITE 205",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092477",
            "telephone_number": "570-344-8686",
            "fax_number": "570-344-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A T MERCURI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "MERCURI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-344-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC001586L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "801213",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015392210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.