Organization Active NPI

Mercer Internists P.C.

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1174565964
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA32182 Issued in NM
Legal business name
MERCER INTERNISTS P.C.
Practice address
40 Fuld St
Ste 302
Trenton, NJ 08638-5247
Phone
(609) 393-0067
Fax
(609) 393-4943
NPI assigned
Jun 13, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Anasse Souidi, MD.
Title
Owner
Phone
(609) 393-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA32182 NM Primary

Addresses

Primary practice location

40 Fuld St
Ste 302
Trenton, NJ 08638-5247

Mailing address

40 Fuld St
Ste 302
Trenton, NJ 08638-5247
Phone (609) 393-0067

Other identifiers 1

IdentifierTypeStateIssuer
6760708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3131 Princeton Pike
Bldg 6C
Lawrenceville, NJ 08648
Phone (609) 393-0067

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1174565964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 302",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-393-0067",
            "fax_number": "609-393-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "STE 302",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-393-0067",
            "fax_number": "609-393-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER INTERNISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "SOUIDI",
        "authorized_official_first_name": "ANASSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-393-0067",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MA32182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6760708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.