Mercer Surgical Group PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MB06764700 Issued in NJ

Legal business name

MERCER SURGICAL GROUP PC

Practice address

2063 Klockner Rd
Hamilton, NJ 08690-3414

Phone

(609) 586-9788

Fax

(609) 586-1232

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reza Ali Shah, DONPI 1891740080

Title

Owner

Phone

(609) 586-9788

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reza Ali Shah, DO

  • Vascular Surgery Physician
  • Hamilton, NJ
  • NPI 1891740080
  Authorized official Same address or phone

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1811942337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-586-9788",
            "fax_number": "609-586-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-586-9788",
            "fax_number": "609-586-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-586-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MB06764700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercer Endocrine Care LLC
• Mercer Family Chiropractic (Civinski Chiropractic Center)
• Mercer Practice Group
• Mercer Practice Group
• Mercer Renal Associates PA
• Mercer-Ocean Podiatry
• Mercerville Professional Health Care Services,LLC
• Kathryn Merlo, M.A., CCC-SLP
• Steven L Meshkov, MD
• Roseemma Metzler, RD, LDN

• Vascular Surgery Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.