Active NPI
Maxiell Mercado
- Behavior Analyst
- Rochelle Park, NJ
National Provider Identifier
1649985300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60817
- Practice address
- 65 Lexington Ave
Rochelle Park, NJ 07662-4312 - Phone
- (201) 654-5837
- NPI assigned
- Jan 17, 2023
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-60817 | NJ | Primary |
Addresses
Primary practice location
65 Lexington Ave
Rochelle Park, NJ 07662-4312
Mailing address
65 Lexington Ave
Rochelle Park, NJ 07662-4312
Phone (201) 654-5837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1649985300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 LEXINGTON AVE",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624312",
"telephone_number": "201-654-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 LEXINGTON AVE",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624312",
"telephone_number": "201-654-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MAXIELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-22-60817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.