Individual provider Active NPI

Amelia Marie Mackarey, MD

  • Pediatrics Physician
  • Trenton, NJ
National Provider Identifier
1083235584
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA12479800 Issued in NJ
Practice address
321 N Warren St
Trenton, NJ 08618-4794
Phone
(570) 561-8442
NPI assigned
May 6, 2020
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.167392 IL
Pediatrics Physician 208000000X 25MA12479800 NJ Primary

Addresses

Primary practice location

321 N Warren St
Trenton, NJ 08618-4794

Mailing address

321 N Warren St
Trenton, NJ 08618-4794
Phone (570) 561-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240115001485 IL Practitioner - Pediatric Medicine 6608298302 Reassigns benefits to 1 organization
I20250626003958 NJ Practitioner - Pediatric Medicine 6608298302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.167392ILMDPediatrics Physician
25MA12479800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Austin Health Center Inc CurrentSince Jun 20, 2025 Accepting new patients
Erie Family Health Center, Inc CurrentSince Dec 11, 2023 Accepting new patients
Erie Family Health Center Inc CurrentSince Dec 11, 2023 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

5215 N California Ave
Fl 7
Chicago, IL 60625
Phone (312) 432-2064

112 Ewing St
Trenton, NJ 08609
Phone (609) 278-6033

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

433 Bellevue Ave
Fl 4
Trenton, NJ 08618
Phone (609) 278-6029

Interoperability endpoints

  • Direct secure messaging: amelia.mackarey.1@12521.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1083235584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184794",
            "telephone_number": "570-561-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184794",
            "telephone_number": "570-561-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAREY",
        "first_name": "AMELIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.167392",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12479800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.