Mackenzie Robert Livermore, is a
Emergency Medicine - Sports Medicine physician based in Rutherford, New Jersey. Mackenzie Robert Livermore is licensed to practice in New Jersey (license number 25MT00272900) and his current practice location is 1 Felician Way, Rutherford, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(908) 752-7127.
NPI number for Mackenzie Robert Livermore is 1356983787 and his current mailing address is 9 Hook Dr, Milford, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356983787.
Physician's Profile
Full Name | Mackenzie Robert Livermore |
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Gender | Male |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 1 Felician Way, Rutherford, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356983787
- Provider Enumeration Date: 10/17/2019
- Last Update Date: 10/17/2019
Medical Identifiers
Medical identifiers for Mackenzie Robert Livermore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356983787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 25MT00272900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Robert Livermore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mackenzie Robert Livermore, 9 Hook Dr, Milford, NJ 08848-1539 Ph: () - | Mackenzie Robert Livermore, 1 Felician Way, Rutherford, NJ 07070-1977 Ph: (908) 752-7127 |
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