Mercy Associates LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MERCY ASSOCIATES LLC

Practice address

517 Wood Ave
Roselle, NJ 07203-2347

Phone

(551) 580-1893

NPI assigned

Mar 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mercy Otieno, DNPNPI 1235533639

Title

Owner

Phone

(551) 580-1893

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mercy Otieno, CPNP

  • Pediatric Nurse Practitioner
  • Newark, NJ
  • NPI 1235533639
  Medicare reassignment NPD Authorized official
• Ein Yuan Alan Shen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Irvington, NJ
  • NPI 1265536544
  NPD (past)

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1548068653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032347",
            "telephone_number": "551-580-1893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Union Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NJ",
            "postal_code": "071113290",
            "country_code": "US",
            "telephone_number": "551-580-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "OTIENO",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-580-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Martin Lonsk, O.D.
• Jiajun Lu, RPH
• Yamiry Marrero
• Christian McLean, COTA
• Liya Melkadze, MS PT
• Sharon Merritt
• Mindscope Medicine
• Arlene N Mitchell, MSW, LCSW
• Rasheedat Kemi Momoh
• Jennifer Nancy Morales, PA-C

• Pediatrics Physician in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.