NPIMap

Organization Active NPI

Mercy Drive Regional Corporation

  • Home Health Agency
  • Newark, NJ
National Provider Identifier
1891236329
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0247000 Issued in NJ
Legal business name
MERCY DRIVE REGIONAL CORPORATION
Practice address
498 Ferry Street
Newark, NJ 07105
Phone
(718) 725-9896
NPI assigned
Mar 16, 2017
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Christabelle Cochran
Title
Owner
Phone
(718) 725-9896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0247000 NJ Primary

Addresses

Primary practice location

498 Ferry Street
Newark, NJ 07105

Mailing address

498 Ferry Street
Newark, NJ 07105

National Provider Directory

National Provider Directory
Tax ID family
Mercy Drive Regional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1891236329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 FERRY STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 FERRY STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "718-725-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DRIVE REGIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "CHRISTABELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-725-9896"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0247000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.