Macks Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86043468 Issued in NJ

Legal business name

MACKS NUTRITION LLC

Practice address

114 Pine St
Pompton Lakes, NJ 07442-1539

Phone

(973) 768-0442

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Mackay Jr., RD

Title

Owner

Phone

(973) 768-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154835122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PINE ST",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421539",
            "telephone_number": "973-768-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PINE ST",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421539",
            "telephone_number": "973-768-0442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Jersey St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072012310",
            "country_code": "US",
            "telephone_number": "908-352-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACKS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-768-0442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86043468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Meyer Lees, DDS
• Leslie Karen Lobell, L.P.C.
• Louis M Lees DDS PA
• Stacey Lukowiak, LCSW, LCAD,CCS
• Robert G Mackay Jr., RD
• Maha Cares LLC
• Rita Jauod Malones
• Alysha Marengo
• Lais Marrero
• Brenda Marshall, EDD, N.P.

• Registered Dietitian in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.