MACKENSON SAINT FORT MD
NPI 1629872007
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Mackenson Saint Fort's NPI number?

The NPI number for Mackenson Saint Fort is 1629872007. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Mackenson Saint Fort's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2025

1545 ATLANTIC AVE, BROOKLYN, NY 11213(718) 613-4000(718) 504-7621 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mackenson Saint Fort Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENSON SAINT FORT MD (NPI 1629872007) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629872007

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMACKENSON SAINT FORTCredential: MD

Location Address1545 ATLANTIC AVEBrooklyn, NY 11213-1122

Mailing Address38 Wall St Apt 8Garnerville, NY 10923-1541 · (631) 922-2044

Phone(718) 613-4000

Fax(718) 504-7621

Sole ProprietorYes

Enumeration DateApril 3, 2025

NPPES CertifiedApril 1, 2025

✔ NPI 1629872007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1545 ATLANTIC AVE, Brooklyn, NY 11213

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SADHANA BOSE MD

Pediatrics

1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER
BROOKLYN, NY 11213

Kings County (718) 613-4000

QINGWEN ZHENG

Student in an Organized Health Care Education/Training Program

1545 ATLANTIC AVE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11213

Kings County (605) 670-8415

DR. BILAL SHAHZAD AZAM KHAN M.B.B.S

Student in an Organized Health Care Education/Training Program