Cecile McKay, M.D.

Individual provider Active NPI Internal Medicine Physician · West Trenton, NJ

NPI 1013017532 · NPPES record last updated Jan 18, 2013

Key facts

NPI
1013017532
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MA05223000 (NJ)
Practice address
200 Sullivan Way
West Trenton, NJ 08625-2306
Phone
(609) 633-1502
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA05223000NJMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA05223000 NJ Yes

Addresses

Primary practice location

200 Sullivan Way
West Trenton, NJ 08625-2306

Mailing address

100 Sullivan Way
West Trenton, NJ 08862-0500
Phone (609) 633-1502

Other identifiers

IdentifierTypeStateIssuer
716759C2DOtherNJMEDICARE BILLING NO.

Other providers in West Trenton, NJ

All providers in West Trenton, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.