Active NPI
Elizabeth Mercado, SERVICE COORDINATOR
- Occupational Therapist
- Valhalla, NY
National Provider Identifier
1356048771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027875-01
- Practice address
- 20 Hospital Oval W
Valhalla, NY 10595 - Phone
- (914) 493-8719
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Occupational Therapist | 225X00000X | 027875-01 | NY | Primary |
Addresses
Primary practice location
20 Hospital Oval W
Valhalla, NY 10595
Mailing address
1479 Macombs Rd Apt 6G
Bronx, NY 10452-2120
Phone (347) 593-9157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024001532 | NY | Practitioner - Occupational Therapist in Private Practice | 9537515796 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027875 | NY | MD | Physical Therapist |
| 027875-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1356048771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 MACOMBS RD APT 6G",
"city": "BRONX",
"state": "NY",
"postal_code": "104522120",
"telephone_number": "347-593-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL OVAL W",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "ELIZABETH",
"credential": "SERVICE COORDINATOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027875-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.