NPI Code Details Logo

NPI 1700548096

NPI 1700548096 : JOHN CHRISTOPHER MERCADO APN-A : ALLENTOWN, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700548096
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOHN CHRISTOPHER MERCADO APN-A
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2021
-----------------------------------------------------
    Last Update Date     |    06/24/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1200 S CEDAR CREST BLVD FL 2 
-----------------------------------------------------
    City                 |    ALLENTOWN
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    18103-6202
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    610-402-6164
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    32 DUNLIN WAY 
-----------------------------------------------------
    City                 |    ERIAL
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08081-1324
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-330-7295
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    26NJ01214300
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    RN651093
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.