Individual provider Active NPI

Nicole Mermet

  • Dentist
  • New York, NY
National Provider Identifier
1285062539
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049949-1 Issued in NY
Practice address
275 Madison Ave Ste 2118
New York, NY 10016-1137
Phone
(212) 867-4223
Fax
(212) 867-6050
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02184800 NJ
Dentist 122300000X 049949-1 NY Primary

Addresses

Primary practice location

275 Madison Ave Ste 2118
New York, NY 10016-1137

Mailing address

275 Madison Ave Ste 2118
New York, NY 10016-1137
Phone (212) 867-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02184800NJMDDentist
049949-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Dental Care LLC Dentist CurrentSince Apr 20, 2025 Accepting new patients

Locations

275 Madison Ave
Ste 2118
New York, NY 10016
Phone (212) 867-4223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1285062539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE STE 2118",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161137",
            "telephone_number": "212-867-4223",
            "fax_number": "212-867-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE STE 2118",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161137",
            "telephone_number": "212-867-4223",
            "fax_number": "212-867-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMET",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02184800",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049949-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.