Don Mercado

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

Y27779 Issued in NJ

Legal business name

DON MERCADO

Doing business as

Ernston Pulmonary Diagnostics

Practice address

596 Anderson Ave
Suite 201
Cliffside Park, NJ 07010-1831

Phone

(201) 923-9041

Fax

(201) 941-1553

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Don Mercado, PULMONARY TECH

Title

Owner

Phone

(201) 923-9041

Specialties & licenses 1

Addresses

Other names 1

• Ernston Pulmonary Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548282502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070105986",
            "telephone_number": "201-923-9041",
            "fax_number": "201-941-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE",
            "address_2": "SUITE 201",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101831",
            "telephone_number": "201-923-9041",
            "fax_number": "201-941-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON MERCADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-923-9041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PULMONARY TECH"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "Y27779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ernston Pulmonary Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Diagnostic Radiology 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.