Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr Mack Functional & Family Medicine PC

Organization Internal Medicine Physician · NPI 1972411734

Dr Mack Functional & Family Medicine PC provides Internal Medicine Physician services in Pine Brook, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Route 46
Pine Brook, NJ 07058-9387
Phone: (914) 588-4454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1972411734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mack Sullivan — Medical Director · (914) 395-3691
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026
Mailing address40 Route 46, Pine Brook, NJ 07058-9387