Individual provider Active NPI

Mackenzie Logan Carr

  • Family Nurse Practitioner
  • Holbrook, NY
National Provider Identifier
1659237295
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F357529-01 Issued in NY
Practice address
233 Union Ave
Holbrook, NY 11741-1820
Phone
(212) 803-3339
NPI assigned
Dec 29, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F357529-01 NY Primary

Addresses

Primary practice location

233 Union Ave
Holbrook, NY 11741-1820

Mailing address

338 Locust Dr
Rocky Point, NY 11778-9281

Other practice location 1

1228 E Main St
Riverhead, NY 11901-2675
Phone (212) 803-3339

Other practice location 2

12 Medical Dr
Port Jefferson Station, NY 11776-1588
Phone (212) 803-3339

Other practice location 3

625 Hampton Rd
Southampton, NY 11968-3051
Phone (212) 803-3339

Other names 1

  • Mrs. Mackenzie Logan Haff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225003585 NY Practitioner - Nurse Practitioner 6800377003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

12 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1588
Phone (212) 803-3339

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

625 Hampton Rd
Southampton, NY 11968-3051
Phone (212) 803-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F357529-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Care PC Family CurrentSince Jan 19, 2026 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

609 Hampton Rd
Ste 9
Southampton, NY 11968

Organizations & group practices 2

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": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1659237295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 LOCUST DR",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "212-803-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 E Main St",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012675",
            "country_code": "US",
            "telephone_number": "212-803-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117761588",
            "country_code": "US",
            "telephone_number": "212-803-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119683051",
            "country_code": "US",
            "telephone_number": "212-803-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "MACKENZIE",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F357529-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "HAFF",
            "middle_name": "LOGAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holbrook, NY

Sources for this page

Verify at the official NPI Registry.