MD MOBILE LLC


Address: 1 Scenic Dr, Suite 907, Highlands, NJ 07732-1329
Phone: 2017884962

MD MOBILE LLC (NPI# 1063516631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063516631
Entity Type Organization
Organization Name MD MOBILE LLC
Other Organization Name VASONIX
Practice Address 1 Scenic Dr
Suite 907
Highlands
NJ 07732-1329
Practice Telephone 2017884962
Mailing Telephone 2017884962
Enumeration Date 2006-09-12
Last Update Date 2020-08-22
Authorized Official Name MRS. RALUCA COYLE (OWNER)
Authorized Official Telephone 2015855170
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
MA073751 NJ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Vasonix Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations MD MOBILE LLC 6706 19th St W, University Pl, WA 98466-5527

Office Location

Street Address 1 SCENIC DR
SUITE 907
City HIGHLANDS
State NJ
Zip Code 07732-1329

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013460799 Amy Goerl Speech-Language Pathologist I-13 Twin Lights Court, Highlands, NJ 07732 2016-07-28
1053727560 Joseph Abid Pharmacist 642 - Newman Springs Rd, Pharmacy, Lincroft, NJ 07732 2014-07-03
1134211618 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 470 Route 36, Highlands, NJ 07732 2006-09-29
1841425535 Amy Gallagher Speech-Language Pathologist 330 Shore Dr, F-7, Highlands, NJ 07732-1145 2009-05-25
1851646988 Norma Jean Ross Registered Nurse 176 Linden Ave, Highlands, NJ 07732-1308 2012-07-15
1538542212 Teresa M Fealy-duffy Nurse Practitioner 470 Rte 36, Highlands, NJ 07732-1315 2015-06-30
1164682266 Edward H. Lowell Psychiatry & Neurology 1 Scenic Dr Unit 1404, Highlands, NJ 07732-1322 2008-06-11
1447625314 Barbara Fisher Clinic/Center 1 Snug Harbor Ave, Highlands, NJ 07732-1413 2015-12-03
1386019065 Barbara A Fisher Registered Nurse 1 Snug Harbor Ave, Highlands, NJ 07732-1413 2015-12-07
1770027914 Kaitlin Shea Bailey Nutritionist 59 Washington Ave, Highlands, NJ 07732-1535 2016-12-07
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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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1053685511 Professional Mobile Diagnostic Imaging LLC Clinic/Center 1810 Kennedy Boulevard, Jersey City, NJ 07305 2012-03-01
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1194093294 Us Medical Services LLC Clinic/Center 85 Parlin Ln, Watchung, NJ 07069-5419 2011-12-05
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1912238874 Myron Medical Imaging, LLC Clinic/Center 218 N 10th St, Kenilworth, NJ 07033-1152 2010-01-15
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Competitor

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City HIGHLANDS
Zip Code 07732

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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