Active NPIOrganization

Macks Nutrition LLC

Dietitian, Registered in Pompton Lakes, New Jersey

NPI Number1154835122
Practice location
114 Pine St, Pompton Lakes, NJ 07442-1539
Fax
—
Last updated
March 17, 2018

Macks Nutrition LLC is a healthcare organization based in Pompton Lakes, NJ. Macks Nutrition LLC practices in Pompton Lakes, NJ. The NPI Number for Macks Nutrition LLC is 1154835122 and holds a License No. 86043468 (NJ). The current practice location address for Macks Nutrition LLC is 114 Pine St, Pompton Lakes, NJ 07442-1539 and can be reached out via phone at 973-768-0442.

Provider Profile Details

NPI Number
1154835122
Provider Name
Macks Nutrition LLC
Provider Entity Type
Organization
Address
114 Pine St, Pompton Lakes, NJ 07442-1539
Phone Number
973-768-0442
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Mr. Robert Mackay, RD · Owner · 973-768-0442
Provider Enumeration Date
November 28, 2017
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Pine St
Pompton Lakes, NJ 07442-1539
Zip
07442-1539
Phone Number
973-768-0442
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
114 Pine St
Pompton Lakes, NJ 07442-1539
City
Pompton Lakes
State
NJ
Zip
07442-1539
Phone Number
973-768-0442

License Information

License Number
86043468
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Macks Nutrition LLC?

The NPI number of Macks Nutrition LLC is 1154835122. It was assigned on November 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Macks Nutrition LLC?

Macks Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86043468.

Where does Macks Nutrition LLC practice?

The practice location is 114 Pine St, Pompton Lakes, NJ 07442-1539. The office can be reached at 973-768-0442 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154835122 directly on the NPPES registry website.

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