A.John Merola, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

092658 Issued in NY

Practice address

5100 W Taft Rd
Liverpool, NY 13088-3807

Phone

(315) 452-2828

Fax

(315) 452-2843

NPI assigned

Mar 24, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1811957780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2828",
            "fax_number": "315-452-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2828",
            "fax_number": "315-452-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLA",
        "first_name": "A.JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "092658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00567088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Haley Meluni, MS CCC SLP
• Daniel L Mendez, MD
• Scott D Mendzef, NP
• John Anthony Mercurio Sr.
• Meridian Chiropractic & Wellness, PC
• Alfonso John Merola IV, DDS
• Herbert A Merrick, CRPA, CARC
• Laura Anne Messina, LPN
• Michael Couch Jr DPM
• John W Michaels, MD

• Family Medicine Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.