Healthcare Provider Details

I. General information

NPI: 1235517723
Provider Name (Legal Business Name): ARC MERCER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 EWINGVILLE RD
EWING NJ
08638-2425
US

IV. Provider business mailing address

180 EWINGVILLE RD
EWING NJ
08638-2425
US

V. Phone/Fax

Practice location:
  • Phone: 609-406-0181
  • Fax: 609-406-9258
Mailing address:
  • Phone: 609-406-0181
  • Fax: 609-406-9258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN PAUL COOK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-406-0181