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

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