Mercerville Professional Health Care Services,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA071041 Issued in NJ

Legal business name

MERCERVILLE PROFESSIONAL HEALTH CARE SERVICES,LLC

Practice address

2239 Whitehorse Mercerville Rd
Hamilton, NJ 08619-2656

Phone

(609) 838-0385

NPI assigned

May 17, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Christine Skipper, MD

Title

Medical Director

Phone

(609) 838-0385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1154811859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192656",
            "telephone_number": "609-838-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192656",
            "telephone_number": "609-838-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCERVILLE PROFESSIONAL HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-838-0385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA071041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercer Practice Group
• Mercer Practice Group
• Mercer Renal Associates PA
• Mercer Surgical Group PC
• Mercer-Ocean Podiatry
• Kathryn Merlo, M.A., CCC-SLP
• Steven L Meshkov, MD
• Roseemma Metzler, RD, LDN
• MF Medicine
• Juhee N Mian, M.D.

• Primary Care Clinic/Center in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Primary Care Clinic/Center in New Jersey

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