Provider Demographics
NPI:1073647822
Name:LAPID, MARICEL MERCADO (PT)
Entity type:Individual
Prefix:MRS
First Name:MARICEL
Middle Name:MERCADO
Last Name:LAPID
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4555
Mailing Address - Country:US
Mailing Address - Phone:201-798-2922
Mailing Address - Fax:201-798-0307
Practice Address - Street 1:91 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4555
Practice Address - Country:US
Practice Address - Phone:201-798-2922
Practice Address - Fax:201-798-0307
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01156000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist