Mercedes Q Tobin, APN, RN, AGCNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

26NJ00818400 Issued in NJ

Practice address

201 Laurel Heights Dr Uppr
Bridgeton, NJ 08302-3635

Phone

(856) 455-4800

Fax

(856) 453-1450

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1831671379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTERNAL MED ASSOC",
            "address_2": "201 LAUREL HEIGHTS DRIVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026265",
            "telephone_number": "856-455-4800",
            "fax_number": "856-451-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAUREL HEIGHTS DR UPPR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-4800",
            "fax_number": "856-453-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MERCEDES",
        "middle_name": "Q",
        "name_prefix": "Mrs.",
        "credential": "APN, RN, AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00818400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica T Thomas, PHYSICAL THERAPY
• Margot Tori Thompson-Watkins, D.V.M.
• Kaitlin Thompson, DPT
• Martina Thompson, BA
• Rebecca J Thompson, CMW
• Ashlee Todd, MS, NCC, LAC
• Annette Tolbert
• Vicky Tomlin, LPC
• Samantha Traenkner, FNP-C
• Tri County Home Therapy LLC

• Adult Health Clinical Nurse Specialist in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Adult Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.