Mercila Roberty

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334716 Issued in NY

Practice address

11 6TH Ave
Brentwood, NY 11717-6122

Phone

(631) 787-4815

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1790301745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474833",
            "telephone_number": "631-289-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 6TH AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176122",
            "telephone_number": "631-787-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTY",
        "first_name": "MERCILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334716",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alwayscompassionate.com",
            "affiliation": "N",
            "endpointDescription": "alwayscompassionate.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 6th Ave",
            "city": "Brentwood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117176122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josue Isai Rivas, LMT
• Norma Elizabeth Rivas, LPN
• Magali Rivera, LCSW
• Robert Dictrow DDS, Bruce S. Logue DDS, PC
• Kelly Elizabeth Roberts, M.A.
• Wadlin Roberty
• Megan Robinson, RN
• Megan Patricia Rocker, LCSW, LMSW
• Gessy Sarai Rodriguez
• Renne Rodriguez, FNP-BC

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.