MRS. LISA MERCURIO (NPI# 1528076544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528076544 |
Entity Type | Individual |
Full Name | MRS. LISA MERCURIO |
Other Name | LISA MENDELLO |
Credential | CPNP |
Practice Address |
17 S Warren St Dover Community Clinic Dover NJ 07801 |
Mailing Address |
27 Fairfield Ave Randolph NJ 07869-1442 |
Practice Telephone | 9733283344 |
Mailing Telephone | 9734425756 |
Mailing Fax Number | 9734425889 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
26NR06262700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
17 S WARREN ST DOVER COMMUNITY CLINIC |
City | DOVER |
State | NJ |
Zip Code | 07801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407859069 | Antonella Giovanna Rita Maietta | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2005-05-27 |
1467071712 | Carolina Lopez | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2020-04-15 |
1366905572 | Nadia Shadani | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-13 |
1669935748 | Rochelle Michaela Farberov | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-07 |
1326545278 | Katerina Danchenko | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2018-04-08 |
1932634367 | Rachel Talia Gold | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2017-04-24 |
1437604022 | Zufall Health Dental Van | Clinic/Center | 17 S Warren St, Dover, NJ 07801-4506 | 2016-08-24 |
1114389103 | Paola Rodriguez | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2016-03-28 |
1346600533 | Sheren Elsaid | Dentist | 17 S Warren St, Dover, NJ 07801-4506 | 2016-03-01 |
1265726194 | Teresita J Lawson | Pharmacist | 17 S Warren St, Dover, NJ 07801-4506 | 2011-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
Find all providers in zip 07801 |
Taxonomy Code | 364SP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235305103 | Mary Lynn Lambert | Clinical Nurse Specialist | 201 Lyons Ave # L5, Children's Hospital of New Jesey, Newark, NJ 07112-2027 | 2008-05-01 |
1992253124 | Joan A Roop | Clinical Nurse Specialist | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2016-09-16 |
1467756619 | Susan La Bagnara | Clinical Nurse Specialist | 150 Bergen St, F342, Newark, NJ 07103-2496 | 2011-01-03 |
1285966929 | Rebecca J Ganz | Clinical Nurse Specialist | 690 Kinderkamack Rd, Suite 102, Oradell, NJ 07649-1524 | 2010-02-05 |
1154599819 | Christine Anna Wagner | Clinical Nurse Specialist | 100 Madison Ave, Dept. of Pediatric Endocrinolgy, Box 53, Morristown, NJ 07960-6136 | 2008-02-15 |
1356559900 | Sheila L Walsh | Clinical Nurse Specialist | 185 S Orange Ave, Msb F570a, Newark, NJ 07103-2757 | 2007-05-18 |
1144437054 | Marian Heenehan | Clinical Nurse Specialist | 150 Bergen St, Newark, NJ 07103-2496 | 2007-05-17 |
1346258357 | Debora Ann Blanchard | Clinical Nurse Specialist | 125 Route 46, Budd Lake, NJ 07828 | 2006-08-04 |
1427090901 | Annette Sinski | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-06-11 |
1114970530 | Carlene Angela Cord | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack University Medical Center- Tommorrows Childr, Hackensack, NJ 07601 | 2006-05-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.