Mercer Primary Care Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA 049502 Issued in NJ

Legal business name

MERCER PRIMARY CARE ASSOCIATES LLC

Practice address

123 Franklin Corner Rd
Suite 204
Lawrenceville, NJ 08648-2526

Phone

(609) 844-0084

Fax

(609) 844-0085

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Warner Gaukler-George, RN

Title

Office Manager

Phone

(609) 844-0083

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LLC Other name

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528070901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-844-0084",
            "fax_number": "609-844-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-844-0084",
            "fax_number": "609-844-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER PRIMARY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUKLER-GEORGE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "WARNER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-844-0083",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA 049502",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MD 044787L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mercer OBGYN PA
• Mercer Physician Services PC
• Vivien Mesina, D.M.D.
• Guerline Metelus-Yacinthe, APN
• Rachel Meyers
• Ursula Miguel, CNM
• Erica Mikula

• Internal Medicine Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.