Physician Compare National (NPI:1851320634)

HEALTHCARE PROVIDER: T J MERCURO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851320634
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719025436
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100615000787
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MERCURO
	Individual professional last name
Provider First Name	T
	Individual professional first name
Provider Middle Name	JOHN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3401 N BROAD ST
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191405103
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2157072000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390027
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEMPLE UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310070
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT PETER'S UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310092
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CAPITAL HEALTH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y