Active NPI
Anthony Thomas Mercuri Jr., DPM
- Podiatrist
- Dunmore, PA
National Provider Identifier
1174537591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001586L
- Practice address
- 1416 Monroe Ave
Suite # 205
Dunmore, PA 18509-2477 - Phone
- (570) 344-8686
- Fax
- (570) 344-2841
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001586L | PA | Primary |
Addresses
Primary practice location
1416 Monroe Ave
Suite # 205
Dunmore, PA 18509-2477
Mailing address
PO Box 186
Dunmore, PA 18512-0186
Phone (570) 344-8686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801213 | Other | PA | FIRST PRIORITY HEALTH |
| 0828220001 | Other | RRMC DUR MED EQUIP | |
| 1539221 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080306000069 | PA | Practitioner - Podiatry | 6709961477 | Practice locations: Clarks Summit, PA; Dunmore, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1174537591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185120186",
"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": {
"last_name": "MERCURI",
"first_name": "ANTHONY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001586L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "801213",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC DUR MED EQUIP",
"identifier": "0828220001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1539221",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
- Joshua McWilliams, D.C.
- Melissa Mecca Gregory, M.S., N.C.C., L.P.C
- Jean-Marie Meholchick, MD
- Melissa M. Dworak Evaluation Services, Inc.
- Melissa M. Dworak Evaluation Services, Inc.
- Denise M Mercuri
- Mercy Group Practice LLC
- Ashley Alexandra Michaels, B.S.
- Bridget Browning Mickere, MA
- Mid-State Occupational Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.