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

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: August 02, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Pharmacist (Nutrition Support)
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Family Medicine
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Family Medicine
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Nurse Practitioner (Psychiatric/Mental Health)
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Physician Assistant
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Family Medicine
465 MOUNT PROSPECT AVE
NEWARK, NJ 07104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Michael Merced located?

Michael Merced practices at 465 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (973) 483-3640.

What is Michael Merced's specialty?

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

Is Michael Merced enrolled in Medicare?

Yes. Michael Merced is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Merced affiliated with any hospitals?

According to CMS data, Michael Merced is affiliated with Choctaw Nation Health Services Authority.

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 4 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.