Healthcare Provider Details

I. General information

NPI: 1700548096
Provider Name (Legal Business Name): JOHN CHRISTOPHER MERCADO APN-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S CEDAR CREST BLVD FL 2
ALLENTOWN PA
18103-6202
US

IV. Provider business mailing address

32 DUNLIN WAY
ERIAL NJ
08081-1324
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-6164
  • Fax:
Mailing address:
  • Phone: 609-330-7295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN651093
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NJ01214300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: