Jacqueline McKenzie

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

22 Fleet St
North Brunswick, NJ 08902

Phone

(908) 801-2405

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1649599069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 46",
            "address_2": "SUITE 420",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041591",
            "telephone_number": "973-882-3456",
            "fax_number": "973-882-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FLEET ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "908-801-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 US Highway 46",
            "address_2": "Suite 420",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "NJ",
            "postal_code": "070041591",
            "country_code": "US",
            "telephone_number": "973-882-3456",
            "fax_number": "973-882-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximum Health & Wellness North Brunswick LLC
• Omar Francisco Mayorga, DMD
• Chrishonda Curry McCoy
• Tina F McGowan, Lac
• Shanique McGowan, LCSW
• Matthew Anthony McQuillan, PA-C
• Medish Care
• Medlife Pharmacy Inc
• Medlife Pharmacy Inc
• Mehdi H.Naqui MD,PA

• Electroneurodiagnostic Specialist/Technologist in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Electroneurodiagnostic Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.