Jose Mercado Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00295600 Issued in NJ

Practice address

2601 E Evesham Rd
Voorhees, NJ 08043-9509

Phone

(856) 596-1113

NPI assigned

May 19, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368921600000",
    "number": "1962848895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 N EAST BLVD UNIT 22",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602339",
            "telephone_number": "609-579-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439509",
            "telephone_number": "856-596-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-19",
        "last_updated": "2013-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00295600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Mendelsohn, LCSW
• Darren Menditto, DO
• Ludmila Mendonca, MSW, LSW
• Ian Anthony Menewisch, RNFA
• Elaine Menon
• Meridian Acupuncture and Oriental Medicine
• Meridian Healthcare, Inc.
• Brittany Diane Merkh, PT, DPT
• Brittany Lynn Merkle, COTA/L
• Robert W Mermer, D.D.S.

• Physical Therapy Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.