Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy R Merchant

Individual provider Family Nurse Practitioner · NPI 1770301731

Jeremy R Merchant is a Family Nurse Practitioner in Staten Island, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

114 Lily Pond Ave
Staten Island, NY 10305-3753
Phone: (347) 421-0468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351405 (NY)

Record details

NPI number1770301731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

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