Dante C Mercurio, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00344600 Issued in NJ

Practice address

1099 Bloomfield Ave
Ste 14
West Caldwell, NJ 07006-7129

Phone

(973) 227-0642

Fax

(973) 227-0675

NPI assigned

Oct 18, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942381777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE",
            "address_2": "STE 14",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067129",
            "telephone_number": "973-227-0642",
            "fax_number": "973-227-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 BLOOMFIELD AVE",
            "address_2": "STE 14",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067129",
            "telephone_number": "973-227-0642",
            "fax_number": "973-227-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIO",
        "first_name": "DANTE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00344600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7191901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Mattia
• Richard Maxwell, PT. DPT
• Sarah Anne McErlean, TL-SLP
• Patricia Elena McGrogan, APN
• Stuart G Mendelson, MD
• Alexandra E Meringer, M.S., CCC-SLP
• Metro Anesthesia of NJ PC
• Robert James Milano, OTD, OTR/L
• Elena Mills, RDN
• Danielle R Minkin, MA, LPC, NCC, ATR-BC

• Clinical Psychologist in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.