Organization Active NPI

Arlene B. Mercado, M.D.

  • Multi-Specialty Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1124205232
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
231220-1 Issued in NY
Legal business name
ARLENE B. MERCADO, M.D.
Practice address
8824 Saint James Ave
Elmhurst, NY 11373-3947
Phone
(718) 271-0455
Fax
(718) 271-0454
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Myra B. Mercado-Capistrano, M.D.
Title
Clinic Manager
Phone
(718) 271-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 231220-1 NY Primary

Addresses

Primary practice location

8824 Saint James Ave
Elmhurst, NY 11373-3947

Mailing address

8824 Saint James Ave
Elmhurst, NY 11373-3947
Phone (718) 271-0455

National Provider Directory

National Provider Directory

Locations

8824 Saint James Ave
Elmhurst, NY 11373
Phone (718) 271-0455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1124205232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 SAINT JAMES AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733947",
            "telephone_number": "718-271-0455",
            "fax_number": "718-271-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8824 SAINT JAMES AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733947",
            "telephone_number": "718-271-0455",
            "fax_number": "718-271-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLENE B. MERCADO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MERCADO-CAPISTRANO",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "718-271-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "231220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.