NEW IMAGE MEDICAL CENTER, LLC (NPI# 1578728481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578728481 |
| Entity Type | Organization |
| Organization Name | NEW IMAGE MEDICAL CENTER, LLC |
| Other Organization Name | ZORICA J. MERCADANTE, MD |
| Practice Address |
103 Parker Rd Suite B West Long Branch NJ 07764-1009 |
| Practice Telephone | 7329231777 |
| Practice Fax Number | 7329231772 |
| Mailing Telephone | 7329231777 |
| Mailing Fax Number | 7329231772 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | DR. ZORICA JELISIJEVIC MERCADANTE (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7329231777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MA68083 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON BLUE CROSS BLUE SHIELD | 1285614586 | 01 |
| NJ | CIGNA | 7497116 | 01 |
| NJ | OXFORD | P3645629 | 01 |
| NJ | AETNA | 5884631 | 01 |
| NJ | UNITED HEALTHCARE | 1918893 | 01 |
| Other Name | Type Code |
|---|---|
| Zorica J. Mercadante, MD | Other Name - Individual/Organization |
| Street Address |
103 PARKER RD SUITE B |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285614586 | Zorica Jelisijevic Mercadante | Internal Medicine | 103 Parker Rd, Suite B, West Long Branch, NJ 07764-1009 | 2006-01-20 |
| 1184752511 | Mark C. Newman | Internal Medicine | 103 Parker Rd, West Long Branch, NJ 07764 | 2007-02-28 |
| 1376578203 | Susan Marie Zeukas-jost | Nutritionist | 103 Parker Rd, Suite B, West Long Branch, NJ 07764 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306312095 | Prime Endocrinology, LLC | Clinic/Center | 103 Parker Rd Ste B, West Long Branch, NJ 07764-1009 | 2018-10-19 |
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| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST LONG BRANCH |
| Zip Code | 07764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.