Michael Merced, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA10954500 Issued in NJ

Practice address

465 Mount Prospect Ave
Newark, NJ 07104-2907

Phone

(973) 483-3640

Fax

(973) 483-4895

NPI assigned

Apr 12, 2017

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 NJ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Southeast Oklahoma Home health agency, Hugo, OK, CCN 377633
• Choctaw Nation Health Services Authority Hospital, Talihina, OK, CCN 370172

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmerced192014@direct.optum.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.

• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Idabel, OK
  • NPI 1407822497

  Single Specialty

  NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690

  Single Specialty

  NPD (past)
• North Hudson Community Action Corporation

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1134374143
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Hugo, OK
  • NPI 1174599088

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Stigler, OK
  • NPI 1184690026

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Durant, OK
  • NPI 1396173449

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Idabel, OK
  • NPI 1407822497

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623
  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Poteau, OK
  • NPI 1710953799

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Antlers, OK
  • NPI 1770322422

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Atoka, OK
  • NPI 1902078728

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • McAlester, OK
  • NPI 1952377939

  Hospital

  Care Compare affiliation
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Talihina, OK
  • NPI 1982992269

  Hospital

  Care Compare affiliation
• Healthcare Innovations of Oklahoma LLC

  • Home Health Agency
  • Hugo, OK
  • NPI 1588644843
  Care Compare affiliation

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1689108185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042907",
            "telephone_number": "973-483-3640",
            "fax_number": "973-483-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042907",
            "telephone_number": "973-483-3640",
            "fax_number": "973-483-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10954500",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "54128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Migdalia Mercado
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• Aziz M Merchant, MD
• Wanda Merchant
• Mercy Drive Regional Corporation
• Mercy Drive Regional Corporation

• Family Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.