Dr. Gino Mercadante, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

71877 Issued in MA

Legal business name

DR. GINO MERCADANTE, P.C.

Practice address

200 Center St
Ludlow, MA 01056-2772

Phone

(413) 589-7176

Fax

(413) 589-7710

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly J Wilson

Title

Office Manager

Phone

(413) 589-7176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica B Libiszewski, NP

  • Adult Health Nurse Practitioner
  • Ludlow, MA
  • NPI 1295927457
  Medicare reassignment Care Compare group NPD
• Gino Mercadante, D.O.

  • Internal Medicine Physician
  • Ludlow, MA
  • NPI 1477559706
  Medicare reassignment Care Compare group NPD
• Jamie Budaj, PA-C

  • Physician Assistant
  • Ludlow, MA
  • NPI 1922753979
  Medicare reassignment NPD
• Tran Lam, DNP

  • Nurse Practitioner
  • Ludlow, MA
  • NPI 1093411936
  Medicare reassignment NPD
• Judy Nham, NP

  • Family Nurse Practitioner
  • Ludlow, MA
  • NPI 1205612389
  Medicare reassignment NPD
• Fiona Debra Johansmeyer, PA

  • Medical Physician Assistant
  • East Walpole, MA
  • NPI 1871012468
  Medicare reassignment
• Christine Gura Niedbala, PA-C

  • Physician Assistant
  • Ludlow, MA
  • NPI 1215258041
  Medicare reassignment
• Anna Paula Rego, PA

  • Physician Assistant
  • Ludlow, MA
  • NPI 1306213459
  Medicare reassignment
• Chelsea Wailgum, PA-C

  • Medical Physician Assistant
  • Pittsfield, MA
  • NPI 1568015014
  Medicare reassignment
• Susan Adams, CFNP

  • Family Nurse Practitioner
  • Leeds, MA
  • NPI 1770554891
  NPD (past)
• Eric W. Cucchi, PA

  • Physician Assistant
  • Worcester, MA
  • NPI 1467656330
  NPD (past)
• Jamie Lynn Delmonte, PA-C

  • Physician Assistant
  • Brockton, MA
  • NPI 1790347581
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1285828939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562772",
            "telephone_number": "413-589-7176",
            "fax_number": "413-589-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GINO MERCADANTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "413-589-7176"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "71877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Desantis, MSW,LICSW
• DG Physical Therapy, P.C.
• Diligent Logistics LLC
• Mandi Dorval
• Erica Dos Santos
• Laurel E Dunnigan
• Ann Maria Labar Elder, MD
• Elevation Physical Therapy & Performance PLLC Maurice Disley Sole MBR
• Robert Ely
• Encompass Health Rehabilitation Hospital of Western Massachusetts, LLC (Encompass Health Rehabilitation Hospital of Western Massachusetts)

• Internal Medicine Physician in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.

Verify at the official NPI Registry.