Mackenzie R Livermore
Emergency Medicine, Sports Medicine in Rutherford, New Jersey
1356983787- Practice location
- 1 Felician Way, Rutherford, NJ 07070-1977
- Phone
- 908-752-7127
- Fax
- —
- Last updated
- October 17, 2019
Mackenzie Robert Livermore is an Emergency Medicine, Sports Medicine based in Rutherford, NJ. Mackenzie Robert Livermore practices in Rutherford, NJ. The NPI Number for Mackenzie Robert Livermore is 1356983787 and holds a License No. 25MT00272900 (NJ). The current practice location address for Mackenzie Robert Livermore is 1 Felician Way, Rutherford, NJ 07070-1977 and can be reached out via phone at 908-752-7127.
Provider Profile Details
- NPI Number
- 1356983787
- Provider Name
- Mackenzie Robert Livermore
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Felician Way, Rutherford, NJ 07070-1977
- Phone Number
- 908-752-7127
- Primary Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 17, 2019
- Last Update Date
- October 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Felician Way
Rutherford, NJ 07070-1977 - City
- Rutherford
- State
- New Jersey
- Zip
- 07070-1977
- Phone Number
- 908-752-7127
Provider Business Mailing Address Details
- Address
- 9 Hook Dr
Milford, NJ 08848-1539 - City
- Milford
- State
- NJ
- Zip
- 08848-1539
License Information
- License Number
- 25MT00272900
- License State
- NJ
- Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X · 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 Mackenzie R Livermore?
The NPI number of Mackenzie R Livermore is 1356983787. It was assigned on October 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Mackenzie R Livermore?
Mackenzie R Livermore is registered under the primary taxonomy Emergency Medicine, Sports Medicine (code 207PS0010X), licensed in NJ under license number 25MT00272900.
Where does Mackenzie R Livermore practice?
The practice location is 1 Felician Way, Rutherford, NJ 07070-1977. The office can be reached at 908-752-7127 (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 1356983787 directly on the NPPES registry website.