Healthcare Provider Details

I. General information

NPI: 1457209603
Provider Name (Legal Business Name): MACKENZIE LUCIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 STATE ROUTE 35
RED BANK NJ
07701-5920
US

IV. Provider business mailing address

717 MOUNT PL
POINT PLEASANT BORO NJ
08742-4577
US

V. Phone/Fax

Practice location:
  • Phone: 973-590-1568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: