Lisa Mercurio, CPNP

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

26NR06262700 Issued in NJ

Practice address

17 S Warren St
Dover Community Clinic
Dover, NJ 07801

Phone

(973) 328-3344

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Mendello Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528076544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FAIRFIELD AVE",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691442",
            "telephone_number": "973-442-5756",
            "fax_number": "973-442-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S WARREN ST",
            "address_2": "DOVER COMMUNITY CLINIC",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "07801",
            "telephone_number": "973-328-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NJ",
            "license": "26NR06262700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MENDELLO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine McLaughlin
• Robert Alan Mehan, MA
• Scott Mein, MA, LCADC
• Nereida Mendez, LAC.
• Maria Victoria Menzel, LSW
• Millman Eye Associates LLC
• Ronald Millman
• Milton J Mintz, DO
• Diane B Misner, RD
• Allison Ann Monroe

• Pediatric Clinical Nurse Specialist in Dover, NJ
• Providers in Dover, NJ by specialty
• Pediatric Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.