Active NPIIndividual provider

Dr. Rose M Mack, DO

Emergency Medicine in Elizabeth, New Jersey

NPI Number1831267152
Practice location
225 Williamson St, Elizabeth, NJ 07202-3625
Fax
—
Last updated
February 27, 2024

Rose M Mack is an Emergency Medicine based in Elizabeth, NJ. Rose M Mack practices in Elizabeth, NJ and has the professional credentials of DO. The NPI Number for Rose M Mack is 1831267152 and holds a License No. 2012015751 (MO). The current practice location address for Rose M Mack is 225 Williamson St, Elizabeth, NJ 07202-3625 and can be reached out via phone at 908-994-5422.

Provider Profile Details

NPI Number
1831267152
Provider Name
Rose M Mack
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
225 Williamson St, Elizabeth, NJ 07202-3625
Phone Number
908-994-5422
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2006
Last Update Date
February 27, 2024
Certification Date
February 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Williamson St
Elizabeth, NJ 07202-3625
Zip
07202-3625
Phone Number
908-994-5422
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
The Somerset Network
P.o. Box 70
Westfield, NJ 07091
City
Westfield
State
NJ
Zip
07091
Phone Number
908-317-6807
Fax Number
908-317-6896

License Information

License Number (1)
2012015751
License State (1)
MO
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
61-19569
License State (2)
NJ
Taxonomy (2)
Preventive Medicine, Addiction Medicine · 2083A0300X
License Number (3)
MB69803
License State (3)
NJ
Taxonomy (3)
Emergency Medicine · 207P00000X · 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 Dr. Rose M Mack, DO?

The NPI number of Dr. Rose M Mack, DO is 1831267152. It was assigned on December 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Rose M Mack, DO?

Dr. Rose M Mack, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MO under license number 2012015751.

Where does Dr. Rose M Mack, DO practice?

The practice location is 225 Williamson St, Elizabeth, NJ 07202-3625. The office can be reached at 908-994-5422 (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 1831267152 directly on the NPPES registry website.

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