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

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Infectious Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
1533019OtherNJUNITED MINE WORKERS ASSOC
01000350900OtherNJAMERICHOICE
0727771000OtherNJAMERIHEALTH
223312456OtherNJTAX ID
6269303MedicaidNJ
C11654OtherNJRAIL ROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 23, 2008.

{
    "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

All providers in Trenton, NJ · Infectious Disease Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.