Active NPI
Mercy Phillip
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F353825-01
- Practice address
- 462 1St Ave
New York, NY 10016-9196 - Phone
- (212) 562-5555
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F353825-01 | NY | Primary |
Addresses
Primary practice location
462 1St Ave
New York, NY 10016-9196
Mailing address
1768 Front St
Scotch Plains, NJ 07076-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240429000500 | NJ | Practitioner - Nurse Practitioner | 8426498197 | Reassigns benefits to 3 organizations |
| I20240429001012 | NY | Practitioner - Nurse Practitioner | 8426498197 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Practice Associates Medical GroupMission Medical Care PC
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
1125 US Hwy 22
Suite 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7011
127 Church Rd
Suite 600
Marlton, NJ 08053-9425
Phone (212) 803-3339
333 E Shore Rd
Suite 201
Manhasset, NY 11030-2900
Phone (212) 803-3339
49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802
Phone (212) 803-3339
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000
Hospital & facility affiliations
- Overlook Medical Center
- Morristown Medical Center
- Cooperman Barnabas Medical Center
- Bellevue Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F353825-01 | NY | MD | Family Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Current | Accepting new patients | |
| Mission Medical Care PC | Family | Current | Accepting new patients |
| Rejuveinate LLC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Fara Stricker Family Health Nurse Practitioner, P.C. | Past | Accepting new patients |
Locations
1125 Route 22
Ste 270
Bridgewater, NJ 08807
Phone (908) 947-7017
385 Prospect Ave
Ste 101
Hackensack, NJ 07601
422 Morris Ave
Ste 7
Long Branch, NJ 07740
Phone (509) 797-7493
127 Church Rd
Ste 600
Marlton, NJ 08053
Phone (856) 355-8582
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
49 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 246-7600
385 Morris Ave
Ste 2
Springfield, NJ 07081
333 E Shore Rd
Ste 201
Manhasset, NY 11030
Phone (516) 829-3044
165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879
265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mphillip4057663@nychhc.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1750898565
Family, NJ, NY
-
- Infusion Therapy Clinic/Center
- Rockville Centre, NY
- NPI 1669162970
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
Hospital
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1649030644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 FRONT ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-562-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "MERCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F353825-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.