MRS. LISA MERCURIO


Address: 17 S Warren St, Dover Community Clinic, Dover, NJ 07801
Phone: 9733283344

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 17 S WARREN ST
DOVER COMMUNITY CLINIC
City DOVER
State NJ
Zip Code 07801

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 364SP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City DOVER
Zip Code 07801

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Dataset Information

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.

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