James Mucerino

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5209623 Issued in FL

Practice address

3000 Goffs Falls Rd
Suite 101
Manchester, NH 03111-1000

Phone

(800) 995-2673

Fax

(888) 979-6551

NPI assigned

Mar 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1639619141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GOFFS FALLS RD",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031111000",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GOFFS FALLS RD",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031111000",
            "telephone_number": "800-995-2673",
            "fax_number": "888-979-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCERINO",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5209623",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L 080780-5",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ME",
            "license": "LPN03910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Moul, BS, CRSW
• William Mounce
• Mount Carmel Rehabilitation & Nursing Center
• Johanna Moy, MS
• Helen Mrema
• J Gavin Muir, MD
• Dative Mukaneza
• Stephanie Mulherin, LICSW
• Aileesh A. Mulligan, BA
• Jo-Ann P Mulligan, M.ED.

• Licensed Practical Nurse in Manchester, NH
• Providers in Manchester, NH by specialty
• Licensed Practical Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.