NPIMap

Individual provider Active NPI

Mackenzie Elizabeth Cooke, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1659943892
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
645 Madison Ave
New York, NY 10022-1010
Phone
(888) 636-7840
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

645 Madison Ave
New York, NY 10022-1010

Mailing address

645 Madison Ave
New York, NY 10022-1010

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210901003360 NY Practitioner - Physician Assistant 7315343183 Reassigns benefits to 2 organizations
I20221219002983 NJ Practitioner - Physician Assistant 7315343183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.37 of 100Reported as group
Quality
69.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Oct 3, 2022 Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 3, 2022 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Aug 23, 2021 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

645 Madison Ave
New York, NY 10022
Phone (212) 317-4548

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

Interoperability endpoints

  • Direct secure messaging: mcooke481989@nyumc.direct-ci.com

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1659943892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221010",
            "telephone_number": "888-636-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.