Mackenzie L Juckett, MS,APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00387900 Issued in NJ

Practice address

5 Eves Drive
Suite 300
Marlton, NJ 08053

Phone

(856) 596-1600

Fax

(856) 552-3218

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Samaritan Healthcare & Hospice, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mount Laurel, NJ
  • NPI 1023323367
  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Samaritan Homevisit Physicians PC

  • Internal Medicine Physician
  • Mount Laurel, NJ
  • NPI 1366088858
  NPD (past)
• South Jersey Neurocare PA

  • Neurology Physician
  • Medford, NJ
  • NPI 1265416317
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1801142104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EVES DRIVE",
            "address_2": "SUITE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-1600",
            "fax_number": "856-552-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVES DRIVE",
            "address_2": "SUITE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-1600",
            "fax_number": "856-552-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUCKETT",
        "first_name": "MACKENZIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00387900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Y Jong, DMD
• Gregory William Joseph, PSY.D.
• Rabina Joshi, PMHNP
• Journee Care Companion LLC
• Samaria Juanandres, BCBA
• Madeline Claire Juleskusky, PT, DPT
• Alexis K Juliano, MS, CCC-SLP
• Christine Juliano, LCSW
• Nishi Kadakia
• Brooke Kaffenberg, MA CCC-SLP

• Family Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.