Mary M Merkel-Custer, MSN, APN-C, CARN-AP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00067800 Issued in NJ

Practice address

1903 Grant Ave
Williamstown, NJ 08094-6139

Phone

(856) 629-0244

Fax

(856) 629-3760

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maryville, Inc

  • Substance Abuse Rehabilitation Facility
  • Williamstown, NJ
  • NPI 1073023354
  NPD (past)
• Maryville, Inc.

  • Substance Abuse Rehabilitation Facility
  • Williamstown, NJ
  • NPI 1801018361
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1184069643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080946139",
            "telephone_number": "856-629-0244",
            "fax_number": "856-629-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080946139",
            "telephone_number": "856-629-0244",
            "fax_number": "856-629-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL-CUSTER",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSN, APN-C, CARN-AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO10889700",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "13138",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00067800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Brennan McGonigle, APN
• Jennifer A McIlvaine
• Javeena McIntyre
• Francis C Meeteer, DO
• David J Mellish, OD
• Melinda S. Merkel
• Dino C Messina
• Onyekachi Mgbemena
• MGM Community Services Inc
• MGM Community Services Inc

• Adult Health Nurse Practitioner in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.