MERCY MEDICAL CENTER (NPI# 1619245610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619245610 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | MERCY MEDICAL CENTER-PHYSICIAN SERVICES |
| Practice Address |
1000 N. Village Avenue Rockville Centre NY 11570 |
| Mailing Address |
P.o. Box 798 Rockville Centre NY 11571 |
| Practice Telephone | 5167051613 |
| Practice Fax Number | 5167053575 |
| Mailing Telephone | 5167051403 |
| Mailing Fax Number | 5167053575 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | ALAN GUERCI (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5165626798 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2909000H | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Medical Center-Physician Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493073 | Mercy Medical Center | Chronic Disease Hospital | 7011 E Baltimore St, Baltimore, MD 21224-1829 | 2017-01-06 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1407075096 | Mercy Medical Center | Occupational Therapist | 2120 Edgewood Rd Sw, Cedar Rapids, IA 52404-2342 | 2007-04-24 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1033159769 | Mercy Medical Center | Hospice Care, Community Based | 315 18th Ave, Hiawatha, IA 52233-2042 | 2006-06-08 |
| 1720456361 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Ave, Garden City, NY 11530-4706 | 2015-09-14 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1558783548 | Mercy Medical Center | Clinic/Center | 1421 S Caton Ave, Suite 203, Baltimore, MD 21227-1025 | 2014-01-10 |
| 1184974677 | Mercy Medical Center | Pharmacy | 701 10th Street Se, Cedar Rapids, IA 52403-1292 | 2012-09-12 |
| 1790054815 | Mercy Medical Center | Rehabilitation Hospital | 345 Saint Paul Pl, Baltimore, MD 21202-2123 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER | 500 S Oakwood Rd, Oshkosh, WI 54901-7944 |
| New York State Corporations | MERCY MEDICAL CENTER | 1000 North Village Avenue, Rockville Centre, New York 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - DES MOINES | 1111 6th Ave, Des Moines, IA 50314-2610 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - NEWTON | 204 North 4th Avenue East, Newton, IA 50208-3135 |
| Iowa Business Entities | MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | 1000 4th St Sw, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER FUNDATION IN IOWA | 1000 4th St Sw, Mason City, IA 50401-2800 |
| New York State Corporations | MERCY MEDICAL CENTER PHYSICIAN-HOSPITAL ALLIANCE, INC. | 1000 North Village Avenue, Rockville Centre, Ny 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1000 N. VILLAGE AVENUE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881646321 | Jay Itzkowitz | Emergency Medicine | 1000 N. Village Avenue, Rockville Centre, NY 11571 | 2006-05-16 |
| 1790045706 | Catherine Gillis | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1972863983 | Danielle Persampiere | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1245590256 | Jessica Militello | Speech-Language Pathologist | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2012-05-23 |
| 1104106178 | Frank L Dorf | Social Worker | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2011-08-23 |
| 1043590144 | Annemarie Hardgrove | Social Worker | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2011-08-19 |
| 1619256781 | Frank Joseph Smith Jr. | Physician Assistant | 1000 N. Village Avenue, Rockville Centre, NY 11570-1000 | 2011-08-08 |
| 1447569066 | Marina Kats | Physician Assistant | 1000 N. Village Avenue, Ob/gyn, Rockville Centre, NY 11570-0000 | 2010-09-30 |
| 1083854319 | Daniel G. Murphy, Md, PC | Internal Medicine | 1000 N. Village Avenue, Rockville Centre, NY 11570 | 2009-02-26 |
| 1760656102 | Danielle M Agtuca | Social Worker | 1000 N. Village Avenue, Rockville Centre, NY 11571 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278306 | Mary K Leung | Internal Medicine | 242 Merrick Rd Ste 301, Rockville Centre, NY 11570-5254 | 2008-06-11 |
| 1487838454 | Campion Edmund Quinn | Internal Medicine | 49 Thomas Road, Rockville Centre, NY 11570-3240 | 2007-12-26 |
| 1841496114 | Joshua Adam Falk | Internal Medicine | 265 Sunrise Hwy, Suite 1-170, Rockville Centre, NY 11570-4912 | 2007-06-25 |
| 1538386537 | Sze Fong Ng Md PC | Internal Medicine | 2000 N Village Ave Ste 314, Rockville Centre, NY 11570-1001 | 2007-04-19 |
| 1942367230 | Erik Alvis Niedritis | Internal Medicine | 35 Seaman Ave, Rockville Centre, NY 11570-3131 | 2007-01-03 |
| 1932269289 | Jerome R Caiati | Internal Medicine | 165 N Village Ave Ste 134, Rockville Centre, NY 11570-3763 | 2006-12-09 |
| 1467462978 | Cardiology Consultants of Long Island, PC | Internal Medicine | 2000 North Village Ave, Suite # 106-108, Rockville Centre, NY 11570 | 2006-08-08 |
| 1275566747 | Martin A Bolic | Internal Medicine | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 | 2006-07-08 |
| 1841231545 | Reza S Naghavi | Internal Medicine | 178 Sunrise Hwy, Rockville Centre, NY 11570-4704 | 2006-06-10 |
| 1063492916 | Harbhajan Singh | Internal Medicine | 128 Reeve Rd, Rockville Centre, NY 11570-1123 | 2006-01-18 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.