Mercy Home Care & Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7009305 Issued in NJ

Legal business name

MERCY HOME CARE & MEDICAL SUPPLIES, INC.

Practice address

456 Paterson Ave
E Rutherford, NJ 07073-1315

Phone

(201) 896-0001

Fax

(201) 896-9467

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mordy Nissel

Title

President

Phone

(201) 896-0001

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Bryna Nissel, RPA-C

  • Physician Assistant
  • Hackensack, NJ
  • NPI 1740686849
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1609809805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 PATERSON AVE",
            "city": "E RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731315",
            "telephone_number": "201-896-0001",
            "fax_number": "201-896-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PATERSON AVE",
            "city": "E RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731315",
            "telephone_number": "201-896-0001",
            "fax_number": "201-896-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOME CARE & MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "NISSEL",
        "authorized_official_first_name": "MORDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-896-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "7009305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382589",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• BJ'S Wholesale Club Inc.
• Marie Arlette Boni, PHARMD
• David G Foster, D.C.
• Joseph William Dituro, P.C
• Sofya Shell

• Durable Medical Equipment & Medical Supplies in E Rutherford, NJ
• Providers in E Rutherford, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.