Mercado Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MERCADO ORTHOTICS & PROSTHETICS

Practice address

399 Farmington Ave
Suite LL1
Farmington, CT 06032-1937

Phone

(833) 888-0057

Fax

(413) 750-9916

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey Edith Moore

Title

Owner

Phone

(413) 923-7233

Specialties & licenses 2

Addresses

Tax ID family

Mercado Orthotics Prosthetics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mercado Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Keene, NH
  • NPI 1174274203
  NPD tax ID
• Mercado Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Springfield, MA
  • NPI 1801482047
  NPD tax ID

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1114507290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15108",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011155108",
            "telephone_number": "413-923-7233",
            "fax_number": "413-750-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FARMINGTON AVE",
            "address_2": "SUITE LL1",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321937",
            "telephone_number": "833-888-0057",
            "fax_number": "413-750-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-923-7233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Menoutis, MD
• Belinda Mensah, DO
• Thomas J Mensi, DMD
• Mental Health Connecticut, Inc
• James O Menzoian, MD
• Caleb Mere, DPT
• Alex Merkulov, MD
• Patricia Merrick, APRN
• Ethen Mester, PA-C
• Christina Metcalf, MD

• Prosthetic/Orthotic Supplier in Farmington, CT
• Providers in Farmington, CT by specialty
• Prosthetic/Orthotic Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.