Individual provider Active NPI

Jay G Merker, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1508933250
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160496 Issued in NY
Practice address
192 East Shore Road
Great Neck, NY 11023
Phone
(516) 487-4500
Fax
(516) 829-2793
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160496 NY Primary
Gastroenterology Physician 207RG0100X 160496 NY

Addresses

Primary practice location

192 East Shore Road
Great Neck, NY 11023

Mailing address

192 East Shore Road
Great Neck, NY 11023
Phone (516) 487-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000010 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7911057542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160496NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Care, PC Gastroenterology CurrentSince Oct 11, 2022 Accepting new patients

Locations

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1508933250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 EAST SHORE ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-487-4500",
            "fax_number": "516-829-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 EAST SHORE ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-487-4500",
            "fax_number": "516-829-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKER",
        "first_name": "JAY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160496",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "160496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.