Mercylife NJ Limited Liability Company

Primary specialty

AmbulanceTaxonomy code 341600000X

License

100616 Issued in NJ

Legal business name

MERCYLIFE NJ LIMITED LIABILITY COMPANY

Practice address

28 Cambria Ave
Pleasantville, NJ 08232-2204

Phone

(609) 484-8227

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Casselberry

Title

Managing Member

Phone

(609) 377-1351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1457783326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CAMBRIA AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CAMBRIA AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322204",
            "telephone_number": "609-484-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYLIFE NJ LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "CASSELBERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-377-1351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "100616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Pleasantville, NJ
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• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.