DR. DIANE MACKENZIE DO NPI 1316931264

NPI Information

  • NPI: 1316931264
  • Provider Name: DR. DIANE MACKENZIE, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 495 N 13TH ST
    NEWARK, NJ
    ZIP 07107
  • Phone: (973) 268-1400

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NPI Details

DR. Diane Mackenzie, DO is an emergency medicine in Newark, NJ with 27 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Diane Mackenzie, DO NPI is 1316931264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:1999

The provider's business location address is:

495 N 13TH ST
NEWARK, NJ
ZIP 07107-317
Phone: (973) 268-1400

The NPI 1316931264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)

The enumeration date for this NPI number is 9/7/2005 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice25MB07665200NEW JERSEYNo
2207P00000XEmergency Medicine25MB07665200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I03685MEDICARE UPINNEW JERSEY
2P00389823MEDICARE PIN
30023361MEDICAIDNEW JERSEY
4077725MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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