Dellshone T Mckenzie
Contractor in Tenafly, New Jersey
1174149744- Practice location
- 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735
- Phone
- 862-668-0981
- Fax
- —
- Last updated
- June 19, 2020
Dellshone Tyrece Mckenzie is a Contractor based in Tenafly, NJ. Dellshone Tyrece Mckenzie practices in Tenafly, NJ. The NPI Number for Dellshone Tyrece Mckenzie is 1174149744 and holds a License No. M16221608308882 (NJ). The current practice location address for Dellshone Tyrece Mckenzie is 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735 and can be reached out via phone at 862-668-0981.
Provider Profile Details
- NPI Number
- 1174149744
- Provider Name
- Dellshone Tyrece Mckenzie
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735
- Phone Number
- 862-668-0981
- Primary Taxonomy
- Contractor · 171W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 19, 2020
- Last Update Date
- June 19, 2020
- Certification Date
- June 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 W Railroad Ave Ste 168
Tenafly, NJ 07670-1735 - City
- Tenafly
- State
- New Jersey
- Zip
- 07670-1735
- Phone Number
- 862-668-0981
Provider Business Mailing Address Details
- Address
- 24 W Railroad Ave Ste 168
Tenafly, NJ 07670-1735 - City
- Tenafly
- State
- NJ
- Zip
- 07670-1735
- Phone Number
- 862-668-0981
License Information
- License Number (1)
- M16221608308882
- License State (1)
- NJ
- Taxonomy (1)
- Contractor · 171W00000X
- Taxonomy (2)
- Contractor · 171W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dellshone T Mckenzie?
The NPI number of Dellshone T Mckenzie is 1174149744. It was assigned on June 19, 2020 and is currently active in the NPPES registry.
What is the specialty of Dellshone T Mckenzie?
Dellshone T Mckenzie is registered under the primary taxonomy Contractor (code 171W00000X), licensed in NJ under license number M16221608308882.
Where does Dellshone T Mckenzie practice?
The practice location is 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735. The office can be reached at 862-668-0981 (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 1174149744 directly on the NPPES registry website.