Organization Active NPI

Greater Mercer Pulmonary Medical Associates P C

  • Pulmonary Disease Physician
  • Trenton, NJ
National Provider Identifier
1801829692
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
GREATER MERCER PULMONARY MEDICAL ASSOCIATES P C
Practice address
445 Whitehorse Ave
Suite 103
Trenton, NJ 08610-1409
Phone
(609) 585-0300
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Arthur G Pacia, MDNPI 1225053846
Title
President
Phone
(609) 585-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

445 Whitehorse Ave
Suite 103
Trenton, NJ 08610-1409

Mailing address

445 Whitehorse Ave
Suite 103
Trenton, NJ 08610-1409
Phone (609) 585-0300

Other identifiers 1

IdentifierTypeStateIssuer
7054106MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000217 NJ Part B Supplier - Clinic/Group Practice 4880860444 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, NJ; Princeton, NJ; Mercerville, NJ; Hamilton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0936849Greater Mercer Pulmonary & Med Assocs445 Whitehorse Avenue Suite 103, Trenton, NJ 08610Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

445 Whitehorse Ave
Ste 103
Trenton, NJ 08610
Phone (609) 585-0300

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1801829692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITEHORSE AVE",
            "address_2": "SUITE 103",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101409",
            "telephone_number": "609-585-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITEHORSE AVE",
            "address_2": "SUITE 103",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086101409",
            "telephone_number": "609-585-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MERCER PULMONARY MEDICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "PACIA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-585-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7054106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.