Individual provider Active NPI

David Mera, R.N.

  • School Registered Nurse
  • Flushing, NY
National Provider Identifier
1902148901
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
577186 Issued in NY
Practice address
7502 162ND St
Flushing, NY 11366-1135
Phone
(718) 591-0456
Fax
(718) 380-1337
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 577186 NY Primary

Addresses

Primary practice location

7502 162ND St
Flushing, NY 11366-1135

Mailing address

8708 Avon St
Jamaica, NY 11432-3131
Phone (718) 591-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
577186NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1902148901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 AVON ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323131",
            "telephone_number": "718-591-0456",
            "fax_number": "718-380-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661135",
            "telephone_number": "718-591-0456",
            "fax_number": "718-380-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERA",
        "first_name": "DAVID",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "577186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.