Organization Active NPI

Mercerville Medical Assoc PC

  • Primary Care Clinic/Center
  • Mercerville, NJ
National Provider Identifier
1972592129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MERCERVILLE MEDICAL ASSOC PC
Practice address
3800 Quakerbridge Rd
Mercerville, NJ 08619-1010
Phone
(609) 890-6100
Fax
(609) 586-0399
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bonnie L Hartz
Title
Secretary/Credentialing/Referrals
Phone
(609) 890-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3800 Quakerbridge Rd
Mercerville, NJ 08619-1010

Mailing address

3800 Quakerbridge Rd
Mercerville, NJ 08619-1010
Phone (609) 890-6100

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972592129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 QUAKERBRIDGE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191010",
            "telephone_number": "609-890-6100",
            "fax_number": "609-586-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 QUAKERBRIDGE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191010",
            "telephone_number": "609-890-6100",
            "fax_number": "609-586-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCERVILLE MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CREDENTIALING/REFERRALS",
        "authorized_official_telephone_number": "609-890-6100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.