Provider Demographics
NPI:1811013246
Name:MERLINO, JOHN A (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:MERLINO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 596
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:866-295-0041
Mailing Address - Fax:708-342-2517
Practice Address - Street 1:780 ROUTE 37 W
Practice Address - Street 2:SUITE 120
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5059
Practice Address - Country:US
Practice Address - Phone:732-736-5694
Practice Address - Fax:732-244-1860
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2024-05-02
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07321900207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0153834Medicaid
NJ112198Medicare PIN