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

Mackenzie Robert Livermore

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1356983787

Mackenzie Robert Livermore is a Sports Medicine (Emergency Medicine) Physician in Rutherford, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019

Practice location Address checks out

1 Felician Way
Rutherford, NJ 07070-1977
Phone: (908) 752-7127
Show map & directions

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

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 25MT00272900 (NJ)

Record details

NPI number1356983787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019
Mailing address9 Hook Dr, Milford, NJ 08848-1539

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