1821296914 NPI number — DR. DONNA MARIE MACKUSE D.O.

Table of content: DR. DONNA MARIE MACKUSE D.O. (NPI 1821296914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821296914 NPI number — DR. DONNA MARIE MACKUSE D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACKUSE
Provider First Name:
DONNA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821296914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 SHORE RD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
LINWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08221-2100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-601-7820
Provider Business Mailing Address Fax Number:
609-601-7822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 SHORE RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
LINWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08221-2100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-601-7820
Provider Business Practice Location Address Fax Number:
609-601-7822
Provider Enumeration Date:
07/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MB05753100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P0802X , with the licence number: 25MB05753100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F27276 . This is a "UPIN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5140803 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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