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Justin Mercogliano

NPI 1851184642 · on the registry since 2025 · sole proprietor

Practice

Address
21 Homestead St
Clifton, NJ 07013
Phone
(973) 715-3142

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey