Mercer Infectious Disease Assoc
Organization Active NPI Infectious Disease Physician · Trenton, NJ
NPI 1669414017 · NPPES record last updated Jun 23, 2008
Key facts
- NPI
- 1669414017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- MERCER INFECTIOUS DISEASE ASSOC
- Practice address
- 40 Fuld St
Suite 203
Trenton, NJ 08638-5247 - Phone
- (609) 394-6245
- Fax
- (302) 239-2105
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Nigahus Karabulut, M.D.
- Title
- Provider
- Phone
- (609) 394-6245
Practitioners 4
-
Patrick Aufiero, M.D.
-
Marc S Whitman, MD
-
Rezhan H Hussein, MD, FACP, FIDSA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
40 Fuld St
Suite 203
Trenton, NJ 08638-5247
Mailing address
40 Fuld St
Suite 203
Trenton, NJ 08638-5247
Phone (609) 394-6245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533019 | Other | NJ | UNITED MINE WORKERS ASSOC |
| 01000350900 | Other | NJ | AMERICHOICE |
| 0727771000 | Other | NJ | AMERIHEALTH |
| 223312456 | Other | NJ | TAX ID |
| 6269303 | Medicaid | NJ | |
| C11654 | Other | NJ | RAIL ROAD MEDICARE |
NPI Registry JSON
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1669414017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FULD ST",
"address_2": "SUITE 203",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086385247",
"telephone_number": "609-394-6245",
"fax_number": "302-239-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FULD ST",
"address_2": "SUITE 203",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086385247",
"telephone_number": "609-394-6245",
"fax_number": "302-239-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCER INFECTIOUS DISEASE ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "KARABULUT",
"authorized_official_first_name": "NIGAHUS",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "609-394-6245",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS ASSOC",
"identifier": "1533019",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000350900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0727771000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223312456",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6269303",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "C11654",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
- Mercer County Hematology & Oncology
- Mercer County Hematology & Oncology,PC
- Mercer County Psychiatry LLC
- Mercer Cty Office Aging
- Mercer Gastroenterology PC
- Mercer Internists P.C.
- Mercer Internists PC
- Mercer Medical & Wellness LLC
- Mercer Medical Associates
- Mercer Pathology Associates, PA
All providers in Trenton, NJ · Infectious Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.