MOBILE PHYSICIANS LLC (NPI# 1174742530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174742530 |
| Entity Type | Organization |
| Organization Name | MOBILE PHYSICIANS LLC |
| Practice Address |
7 Colts Ct Jackson NJ 08527-4492 |
| Practice Telephone | 7323646803 |
| Practice Fax Number | 7323646803 |
| Mailing Telephone | 7323646803 |
| Mailing Fax Number | 7323646803 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | MARK CARL BOYER JR. (PRESIDENT) |
| Authorized Official Telephone | 7323646803 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD0264800NJ | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8492000 | 05 |
| Street Address |
7 COLTS CT |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-4492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1124344478 | Darryl J Martins | Podiatrist | 100 S Cooper St, Jackson, MI 49201-1598 | 2010-04-12 |
| 1033286307 | Lowery H Huff | Podiatrist | 500 0 Woodrow Wilson Ave, Jackson, MS 39216 | 2006-11-29 |
| 1164592044 | Bryan Tipton Sullivan | Podiatrist | 1915 Dunbarton Drive, Jackson, MS 39216 | 2006-11-08 |
| 1649364860 | Farzad Faryabi | Podiatrist | 2475 Lakeland Drive, Suite B, Jackson, MS 39232 | 2006-10-03 |
| 1700977378 | Family Foot Care Center | Podiatrist | 2033 Greystone Office Park, Jackson, TN 38305 | 2006-09-27 |
| 1700989118 | David Lee Dutra | Podiatrist | 613 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-09-07 |
| 1851339899 | Center for Diabetes Foot Care | Podiatrist | 820 Cooper Rd, Suite I, Jackson, MS 39212-4099 | 2006-06-03 |
| 1689636169 | Jackson Foot and Ankle Clinic | Podiatrist | 345 E Main St, Suite C, Jackson, OH 45640-1779 | 2006-04-03 |
| 1952370132 | Keith Brian Rosenthal | Podiatrist | 180 N County Line Rd, Ste H, Jackson, NJ 08527-4421 | 2006-03-17 |
| Find all providers in JACKSON | ||||
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| 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.