New Image Medical Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA68083 Issued in NJ

Legal business name

NEW IMAGE MEDICAL CENTER, LLC

Practice address

103 Parker Rd
Suite B
West Long Branch, NJ 07764-1009

Phone

(732) 923-1777

Fax

(732) 923-1772

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Zorica Jelisijevic Mercadante, MD

Title

Physician/Owner

Phone

(732) 923-1777

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Zorica J. Mercadante, MD Other name

Locations

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1578728481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKER RD",
            "address_2": "SUITE B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641009",
            "telephone_number": "732-923-1777",
            "fax_number": "732-923-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKER RD",
            "address_2": "SUITE B",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641009",
            "telephone_number": "732-923-1777",
            "fax_number": "732-923-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "MERCADANTE",
        "authorized_official_first_name": "ZORICA",
        "authorized_official_middle_name": "JELISIJEVIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "732-923-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA68083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE SHIELD",
            "identifier": "1285614586",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3645629",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5884631",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7497116",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1918893",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zorica J. Mercadante, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.