Mercy & Grace Nurse Practitioner in Gerontology of New York PLLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

MERCY & GRACE NURSE PRACTITIONER IN GERONTOLOGY OF NEW YORK PLLC

Practice address

89 Arlington Ave
Staten Island, NY 10303-1601

Phone

(718) 448-0442

Fax

(347) 466-5393

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Titilola Adelokiki, N.P.

Title

Owner

Phone

(718) 448-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1831481860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 ARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031601",
            "telephone_number": "718-448-0442",
            "fax_number": "347-466-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 ARLINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031601",
            "telephone_number": "718-448-0442",
            "fax_number": "347-466-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY & GRACE NURSE PRACTITIONER IN GERONTOLOGY OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ADELOKIKI",
        "authorized_official_first_name": "TITILOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-448-0442",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Mera Parrales
• Wanda I Mercado-Ortiz, LMSW
• Jeremy R Merchant
• Rose Marie Mercil, MA
• Jennifer Mary Mercurio, N.P.
• Janet Lee Meresmancohen, M.S. SPECIAL ED
• Tamara Merhej, MD
• Meridian Care Occupational Therapy PC
• Christine Merillo, SPECIAL EDUCATION
• Michelle Ann Merindino, LMHC

• Gerontology Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.