{
  "npi": "1093979361",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ALEX",
    "authorized_official_last_name": "MERCADO",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9735840045",
    "authorized_official_title_or_position": "Managing Member",
    "enumeration_date": "2008-07-15",
    "last_updated": "2008-07-15",
    "organization_name": "ALEX M. MERCADO, M.D., L.L.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "191 US HIGHWAY 206",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FLANDERS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "973-584-0094",
      "postal_code": "078369002",
      "state": "NJ",
      "telephone_number": "973-584-0045"
    },
    {
      "address_1": "191 US HIGHWAY 206",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FLANDERS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "973-584-0094",
      "postal_code": "078369002",
      "state": "NJ",
      "telephone_number": "973-584-0045"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "25MA63545",
      "primary": true,
      "state": "NJ",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}