Mercy Health and Wellness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MERCY HEALTH AND WELLNESS, LLC

Practice address

47 Ernest Street
Nutley, NJ 07110

Phone

(732) 771-9001

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Odette Chantal Tiomo, FNP, PMHNPNPI 1538578380

Title

Nurse Practitioner

Phone

(732) 771-9001

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Odette Tiomo, A.P.N

  • Psychiatric/Mental Health Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1538578380
  NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1356180442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56M READING RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172183",
            "telephone_number": "513-828-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ERNEST STREET",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "732-771-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "TIOMO",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_middle_name": "CHANTAL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-771-9001",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henya Mendelson
• Michelle Mendelson
• Wady Nelson Mercado, PTA
• Rosy Mercedes Leon
• Edward Anthony Mercogliano, M.D.
• Daniele Merlis, M.D.
• Daniel Meshoyrer, DO
• Rudolph Vincent Messina, M.D.
• Metro Ambulance LLC
• Michael F. Durante, M.D.

• Adult Mental Health Clinic/Center in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.