Dr Mack Functional & Family Medicine PC
Internal Medicine in Pine Brook, New Jersey
1972411734- Practice location
- 40 Route 46, Pine Brook, NJ 07058-9387
- Phone
- 914-588-4454
- Fax
- —
- Last updated
- August 31, 2026
Dr Mack Functional & Family Medicine PC is a healthcare organization based in Pine Brook, NJ. Dr Mack Functional & Family Medicine PC practices in Pine Brook, NJ. The NPI Number for Dr Mack Functional & Family Medicine PC is 1972411734. The current practice location address for Dr Mack Functional & Family Medicine PC is 40 Route 46, Pine Brook, NJ 07058-9387 and can be reached out via phone at 914-588-4454.
Provider Profile Details
- NPI Number
- 1972411734
- Provider Name
- Dr Mack Functional & Family Medicine PC
- Provider Entity Type
- Organization
- Address
- 40 Route 46, Pine Brook, NJ 07058-9387
- Phone Number
- 914-588-4454
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Mack Lee Sullivan, MD · Medical Director · 914-395-3691
- Provider Enumeration Date
- August 31, 2026
- Last Update Date
- August 31, 2026
- Certification Date
- August 31, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Route 46
Pine Brook, NJ 07058-9387 - City
- Pine Brook
- State
- New Jersey
- Zip
- 07058-9387
- Phone Number
- 914-588-4454
Provider Business Mailing Address Details
- Address
- 40 Route 46
Pine Brook, NJ 07058-9387 - City
- Pine Brook
- State
- NJ
- Zip
- 07058-9387
- Phone Number
- 914-588-4454
License Information
- Taxonomy
- Internal Medicine · 207R00000X · 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 Dr Mack Functional & Family Medicine PC?
The NPI number of Dr Mack Functional & Family Medicine PC is 1972411734. It was assigned on August 31, 2026 and is currently active in the NPPES registry.
What is the specialty of Dr Mack Functional & Family Medicine PC?
Dr Mack Functional & Family Medicine PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Dr Mack Functional & Family Medicine PC practice?
The practice location is 40 Route 46, Pine Brook, NJ 07058-9387. The office can be reached at 914-588-4454 (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 1972411734 directly on the NPPES registry website.