Angel Peter Mercado, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114261 Issued in FL

Practice address

5155 Corporate Way Ste a
Jupiter, FL 33458

Phone

(561) 624-0123

Fax

(561) 624-1453

NPI assigned

Aug 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Petit PsychiatryGroup PAC ID 6002272358, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angel.mercado.1@25843.direct.athenahealth.com

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.

• Mercado Vein Solutions S Corporation

  • Phlebology Physician
  • West Palm Beach, FL
  • NPI 1942906649
  Medicare reassignment Authorized official
• Petit Psychiatry

  • Child & Adolescent Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1982313508
  Medicare reassignment Care Compare group
• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475
  Medicare reassignment
• Aloupis Dermatology, PA

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1629610415

  Single Specialty

  NPD
• Jupiter Medical Center Physicians Group Inc

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD
• Jupiter Medical Center Physicians Group Inc

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1306351481
  NPD
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907

  Single Specialty

  NPD (past)
• Radiology Interpretation Technology PLLC

  • Specialist
  • Ridgewood, NY
  • NPI 1700476462

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1669751293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 CORPORATE WAY STE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584359",
            "telephone_number": "561-624-0123",
            "fax_number": "561-624-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 CORPORATE WAY STE A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-624-0123",
            "fax_number": "561-624-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291317",
            "country_code": "US",
            "telephone_number": "631-574-2060",
            "fax_number": "877-673-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6405 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773654",
            "country_code": "US",
            "telephone_number": "877-376-2751",
            "fax_number": "877-673-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8268 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "718-883-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 W Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203120",
            "country_code": "US",
            "telephone_number": "516-321-4747",
            "fax_number": "877-673-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "ANGEL",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014992",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Mell, PHD
• Mend Medical LLC
• Avishai Mendelson, MD
• Erich Emmanuel Menge, D.C.
• Sarah Menniti, LMHC
• Rosie Merizier
• Myriana Merkovic, P.T.
• Megan Merritt, FNP
• Metta Counseling, LLC
• Kristin Meunier

• Physician Assistant in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.

Verify at the official NPI Registry.