Active NPI
Elizabeth Mercado, AUD
- Audiologist
- Brooklyn, NY
National Provider Identifier
1487482865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003264
- Practice address
- 101 Broadway
Suite 201
Brooklyn, NY 11249-6297 - Phone
- (718) 484-6120
- NPI assigned
- Jul 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 003264 | NY | Primary |
Addresses
Primary practice location
101 Broadway
Suite 201
Brooklyn, NY 11249-6297
Mailing address
660 White Plains Rd FL Enta4
Tarrytown, NY 10591-5139
Phone (914) 333-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816001605 | NY | Practitioner - Qualified Audiologist | 1850839275 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1487482865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL ENTA4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-333-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROADWAY",
"address_2": "SUITE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112496297",
"telephone_number": "718-484-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "ELIZABETH",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.