MACKENZIE BORGER RD, LDN
NPI 1992425615
Dietitian, Registered - Nutrition, Pediatric in Allentown, PA

Active since September 01, 2022
1210 S CEDAR CREST BLVD STE 2400, ALLENTOWN, PA 18103(610) 402-3386 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mackenzie Borger Rd, Ldn NPPES

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

MACKENZIE BORGER RD, LDN (NPI 1992425615) is an individual nutrition, pediatric provider in Allentown, Pennsylvania and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1992425615
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMACKENZIE BORGERCredential: RD, LDN
Location Address1210 S CEDAR CREST BLVD STE 2400Allentown, PA 18103-6235
Mailing Address1210 S Cedar Crest Blvd Ste 2400Allentown, PA 18103-6235 · (610) 402-3386
Sole ProprietorYes
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1992425615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
1210 S CEDAR CREST BLVD STE 2400, Allentown, PA 18103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Borger Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Mackenzie Borger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology with Special Qualifications in Child Neurology
1210 S CEDAR CREST BLVD, STE 2400
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Pediatrics (Pediatric Gastroenterology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Nurse Practitioner (Pediatrics)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Pediatrics (Pediatric Infectious Diseases)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Pediatrics (Pediatric Gastroenterology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Pediatrics (Pediatric Gastroenterology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Pediatrics (Pediatric Gastroenterology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1210 S CEDAR CREST BLVD STE 2400
ALLENTOWN, PA 18103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Borger's NPI number?

The NPI number for Mackenzie Borger is 1992425615. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Mackenzie Borger located?

Mackenzie Borger practices at 1210 S Cedar Crest Blvd Ste 2400, Allentown, PA 18103. The listed phone number is (610) 402-3386.

What is Mackenzie Borger's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Mackenzie Borger enrolled in Medicare?

Yes. Mackenzie Borger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mackenzie Borger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Borger reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Allentown, PA) and Valley Health Partners Community Health Center (Allentown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Borger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mackenzie Borger was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.