DR. RICHARD BRUCE MACK (NPI# 1609983758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609983758 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BRUCE MACK |
| Credential | DO |
| Practice Address |
865 Mountain Ave Mountainside NJ 07092 |
| Mailing Address |
1181 3rd St Gilroy CA 95020-5303 |
| Practice Telephone | 9087899339 |
| Practice Fax Number | 9083899393 |
| Mailing Telephone | 9088841166 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MB63022 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619063328 | Richard Norman Mack | Psychiatry & Neurology | 23822 Valencia Blvd, # 204, Valencia, CA 91355-5302 | 2006-10-04 |
| 1386741999 | Richard D Mack | Pediatrics | 21 Highland Avenue, Newburyport, MA 01950 | 2006-09-19 |
| 1124381165 | Richard Thomas Mack | Pharmacist | 3111 Taylorsville Hwy, Statesville, NC 28625-2964 | 2012-06-22 |
| 1023225810 | Richard E Mack Jr. | Surgery | 16311 Ventura Blvd, Suite 1080, Encino, CA 91436-2124 | 2007-05-17 |
| 1598801854 | Richard Newell Mack | Marriage & Family Therapist | 2 South St, Suite 210, Auburn, NY 13021-3833 | 2007-01-30 |
| 1700820792 | Richard J Mack | Social Worker | 50 W 23rd St, 9th Floor, New York, NY 10010-5205 | 2006-06-16 |
| 1457317588 | Richard Henry Mack | Orthopaedic Surgery | 515 Fairmount Ave, Suite 530, Baltimore, MD 21286-5466 | 2006-04-26 |
| Street Address |
865 MOUNTAIN AVE |
| City | MOUNTAINSIDE |
| State | NJ |
| Zip Code | 07092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1376817742 | Yekaterina Spivak | Physician Assistant | 444 New Providence Rd, Mountainside, NJ 07092 | 2012-03-02 |
| 1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
| 1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
| 1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
| 1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
| 1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
| 1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| Find all providers in zip 07092 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780980136 | Medical Alternative Solutions | Family Medicine | 241 New Providence Rd, Mountainside, NJ 07092-1736 | 2011-02-02 |
| 1659436699 | Leonie S. Watson | Family Medicine | 1156 Springfield Ave, Mountainside, NJ 07092-2906 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAINSIDE |
| Zip Code | 07092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.