Michael Kevin McCormack, PH.D.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

25MS00001100 Issued in NJ

Practice address

42 E Laurel Rd
Suite 3600
Stratford, NJ 08084-1354

Phone

(856) 566-6469

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104998814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BARNEGAT LN",
            "city": "MANTOLOKING",
            "state": "NJ",
            "postal_code": "087381620",
            "telephone_number": "732-899-1469",
            "fax_number": "732-899-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "SUITE 3600",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NJ",
            "license": "25MS00001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Monjoa Mbullah
• Sean Michael McBride, MD, PH.D.
• George E. McCandless, MSN
• Gillian Faith McCarthy
• Maria Digiorgio McColgan, MD
• Amir McCray, DPM
• Victoria Lynne McElroy, D.O.
• Elizabeth McIntyre, PHD
• Jake McKee, DO
• Colette M McLean, LCSW

• Ph.D. Medical Genetics in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Ph.D. Medical Genetics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.