Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward J Mack, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1134148836

Dr. Edward J Mack, MD is a Geriatric Medicine (Internal Medicine) Physician in Northport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

79 Middleville Road Chief Of Staff OFFICE(11)
Northport, NY 11768
Phone: (631) 261-4400
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 131445 (NY)

Record details

NPI number1134148836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007

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