Lisa Mercurio, CPNP
Clinical Nurse Specialist, Pediatrics in Dover, NJ. Individual provider (NPI-1).
NPI number1528076544
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528076544
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Mercurio
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0200X | Clinical Nurse Specialist, Pediatrics | 26NR06262700 | NJ | Yes |
Other names
- Lisa Mendello (Other Name)
Practice location
17 S Warren StDover Community Clinic
Dover, NJ 07801
Phone 973-328-3344
Mailing address
27 Fairfield AveRandolph, NJ 07869-1442
Phone 973-442-5756 · Fax 973-442-5889
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