Provider Demographics
NPI:1285614586
Name:MERCADANTE, ZORICA JELISIJEVIC (MD)
Entity type:Individual
Prefix:DR
First Name:ZORICA
Middle Name:JELISIJEVIC
Last Name:MERCADANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZORICA
Other - Middle Name:
Other - Last Name:JELISIJEVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:103 PARKER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1009
Mailing Address - Country:US
Mailing Address - Phone:732-923-1777
Mailing Address - Fax:732-923-1772
Practice Address - Street 1:103 PARKER RD
Practice Address - Street 2:SUITE B
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1009
Practice Address - Country:US
Practice Address - Phone:732-923-1777
Practice Address - Fax:732-923-1772
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3K3924OtherHEALTHNET
7497116OtherCIGNA
8224318OtherGHI
1918893OtherUNITED HEALTHCARE
NJ60005357OtherHORIZON NJ HEALTH
5884631OtherAETNA
P3645629OtherOXFORD
NJ024105Medicare PIN
1918893OtherUNITED HEALTHCARE