Mercer Medical Associates

Organization Active NPI Nephrology Physician · Trenton, NJ

NPI 1366471203 · NPPES record last updated Sep 26, 2007

Key facts

NPI
1366471203
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
MERCER MEDICAL ASSOCIATES
Practice address
40 Fuld Street
Suite 401
Trenton, NJ 08638
Phone
(609) 599-1004
Fax
(609) 599-3611
NPI assigned
Jul 2, 2006
Organization subpart
No

Authorized official

Name
Dr. Barry H Cohen, MD NPI 1104856616
Title
President
Phone
(609) 599-1004

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061204000059 NJ Part B Supplier - Clinic/Group Practice 8820097728 Receives reassigned benefits from 5 practitioners
Practice locations: Trenton, NJ

National Provider Directory

Locations

40 Fuld St
Ste 401
Trenton, NJ 08638
Phone (609) 599-1004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RN0300X Yes

Addresses

Primary practice location

40 Fuld Street
Suite 401
Trenton, NJ 08638

Mailing address

40 Fuld Street
Suite 401
Trenton, NJ 08638
Phone (609) 599-1004

Other identifiers

IdentifierTypeStateIssuer
2782308MedicaidNJ

Other providers in Trenton, NJ

All providers in Trenton, NJ · Nephrology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.