Active NPI
Denise Mackler, M.D.
- Anesthesiology Physician
- Somerset, NJ
National Provider Identifier
1760449631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA07101
- Practice address
- 285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153 - Phone
- (732) 271-1400
- Fax
- (732) 271-3544
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA07101 | NJ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA07010100 | NJ |
Addresses
Primary practice location
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
Mailing address
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
Phone (732) 271-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6579904 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07101 | NJ | MD | Anesthesiology Physician |
| 25MA07010100 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1760449631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 DAVIDSON AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734153",
"telephone_number": "732-271-1400",
"fax_number": "732-271-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 DAVIDSON AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734153",
"telephone_number": "732-271-1400",
"fax_number": "732-271-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLER",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA07101",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA07010100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6579904",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.