DR. MICHAEL MERCED M.D.
NPI 1689108185
Family Medicine in Newark, NJ

Q: What is Michael Merced's NPI number?

The NPI number for Michael Merced is 1689108185. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Q: What is Michael Merced's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Merced was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment

465 MOUNT PROSPECT AVE, NEWARK, NJ 07104(973) 483-3640(973) 483-4895 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2021, May 20, 2021, Sep 16, 2020 and 1 more (4 updates tracked since 2017).

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About Dr. Michael Merced M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL MERCED M.D. (NPI 1689108185) is an individual family medicine provider in Newark, New Jersey, licensed in New Jersey (25MA10954500) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689108185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL MERCEDCredential: M.D.

Location Address465 MOUNT PROSPECT AVENewark, NJ 07104-2907

Mailing Address465 Mount Prospect AveNewark, NJ 07104-2907 · (973) 483-3640 · Fax (973) 483-4895

Phone(973) 483-3640

Fax(973) 483-4895

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateApril 12, 2017

Last NPPES UpdateOctober 7, 20214 updates tracked since enumeration

NPPES CertifiedOctober 7, 2021

✔ NPI 1689108185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NJ · 25MA10954500✔ Licensed in KY · 54128

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

465 MOUNT PROSPECT AVE, Newark, NJ 07104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Merced M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961890819

PECOS Enrollment IDI20211026000293, I20251208001968

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Michael Merced reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Care Of New Jersey PC

25 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

Choctaw Nation Of Oklahoma

1,187 mi

Primary Care

109 KERR AVE
Poteau, OK 74953

Reassigned Medicare billing, Texas enrollment
581 clinicians in this Medicare group

NPI 1710953799 (918) 567-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK

OwnershipTribal

CMS Certification Number370172

Location1 Choctaw WayTalihina, OK 74571 · Latimer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIEP N TRAN

Pharmacist (Nutrition Support)