Individual provider Active NPI

Irwin Mercader, PT

  • Physical Therapist
  • Jefferson Valley, NY
National Provider Identifier
1780703116
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025711 Issued in NY
Practice address
3635 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone
(845) 745-4017
Fax
(845) 259-1906
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01216300 NJ
Orthopedic Physical Therapist 2251X0800X 025711 NY
Physical Therapist 225100000X 025711 NY Primary

Addresses

Primary practice location

3635 Hill Blvd
Jefferson Valley, NY 10535-1501

Mailing address

2802 Moreland St
Yorktown Heights, NY 10598-2422
Phone (917) 476-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315002076 NY Practitioner - Physical Therapist in Private Practice 1456691179 Reassigns benefits to 1 organization
Practice locations: Jefferson Valley, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irwin Physical Therapy PCGroup PAC ID 8022409978, 3 clinicians

Practice addresses (Care Compare)

3635 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone (845) 745-4017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01216300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Physical Therapy PC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

3635 Hill Blvd
Jefferson Valley, NY 10535
Phone (845) 745-4017

654 Route 6
Ste 1
Mahopac, NY 10541
Phone (845) 745-4017

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1780703116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 MORELAND ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982422",
            "telephone_number": "917-476-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 HILL BLVD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351501",
            "telephone_number": "845-745-4017",
            "fax_number": "845-259-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADER",
        "first_name": "IRWIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01216300",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "025711",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.