Active NPI
Mercedes Lesesne, M.D.
- Pediatric Adolescent Medicine Physician
- Paterson, NJ
National Provider Identifier
1811938293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA36371
- Practice address
- 625 Broadway
1St Floor
Paterson, NJ 07514-1917 - Phone
- (973) 523-1102
- Fax
- (973) 523-7309
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA36371 | NJ | Primary |
Addresses
Primary practice location
625 Broadway
1St Floor
Paterson, NJ 07514-1917
Mailing address
625 Broadway
1St Floor
Paterson, NJ 07514-1917
Phone (973) 523-1102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA36371 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs University Medical Center Inc. | Past | Accepting new patients | |
| Eastside Pediatrics LLC | Past | Accepting new patients | |
| Barnert FCC Housemeds Group | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Paterson, NJ
- NPI 1982905626
-
- Health Maintenance Organization
- Paterson, NJ
- NPI 1972780088
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1811938293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 BROADWAY",
"address_2": "1ST FLOOR",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141917",
"telephone_number": "973-523-1102",
"fax_number": "973-523-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 BROADWAY",
"address_2": "1ST FLOOR",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141917",
"telephone_number": "973-523-1102",
"fax_number": "973-523-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESESNE",
"first_name": "MERCEDES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA36371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.