Individual provider Active NPI

Diogenes Fermin Mercedes, M.D.

  • Surgical Assistant
  • New York, NY
National Provider Identifier
1316335326
Registry record updated Dec 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
14-208 Issued in NY
Practice address
521 W 168TH St Apt 4
New York, NY 10032-4134
Phone
(917) 403-9220
NPI assigned
Dec 27, 2014
Last updated
Dec 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 14-208 NY Primary

Addresses

Primary practice location

521 W 168TH St Apt 4
New York, NY 10032-4134

Mailing address

521 W 168TH St Apt 4
New York, NY 10032-4134
Phone (917) 403-9220

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14-208NYMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419638400000",
    "number": "1316335326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 168TH ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324134",
            "telephone_number": "917-403-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 168TH ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324134",
            "telephone_number": "917-403-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN MERCEDES",
        "first_name": "DIOGENES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-27",
        "last_updated": "2014-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NY",
            "license": "14-208",
            "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 Dec 27, 2014; 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.