Agueda L Mercado, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

234123 Issued in NY

Practice address

129 Wadsworth Ave
Suite 4
New York, NY 10033

Phone

(212) 781-5891

Fax

(212) 740-5163

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255360368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WADSWORTH AVE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-781-5891",
            "fax_number": "212-740-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WADSWORTH AVE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-781-5891",
            "fax_number": "212-740-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "AGUEDA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Meran
• Kyle David Merandy, NURSE PRACTITIONER
• Eddie Meraz, NP
• Amy Althoff Merbaum, LP
• Isaac Mercado Guevara, CRPA-P
• Alenny Mercado, N.P.
• Carmen Mercado, NP-C
• Cecilia Luz Mercado, M.D.
• Charmane Mercado, RN
• Chiset Mercado

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.