Provider Demographics
NPI:1336146125
Name:MERKEL, IRA
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:MERKEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CLYDE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5032
Mailing Address - Country:US
Mailing Address - Phone:732-873-9200
Mailing Address - Fax:732-873-1699
Practice Address - Street 1:33 CLYDE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5032
Practice Address - Country:US
Practice Address - Phone:732-873-9200
Practice Address - Fax:732-873-1699
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06190500207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5H3872OtherEMPIRE BC/BS #
NJ2108835OtherAETNA HMO #
NJ1K0769OtherHEALTHNET #
NJ8101809Medicaid
NJ4337274OtherAETNA PPO #
NJ2499176OtherGHI PPO #
NJ0563362000OtherAMERIHEALTH #
NJ8101809Medicaid
NJF29410Medicare UPIN