NJ MOBILE MEDICAL PC NPI 1932639051

NPI Information

  • NPI: 1932639051
  • Provider Name: NJ MOBILE MEDICAL, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 105 RIVER AVE STE 103
    LAKEWOOD, NJ
    ZIP 08701
  • Phone: (516) 595-8560

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NPI Details

NJ MOBILE MEDICAL, PC is a specialist in Lakewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NJ MOBILE MEDICAL, PC NPI is 1932639051. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 RIVER AVE STE 103
LAKEWOOD, NJ
ZIP 08701-267
Phone: (516) 595-8560
Fax: (516) 666-8370

The provider's authorized official is Glenn Gandelman .
The authorized official title is Sole Owner and has the following contact phone number (203) 869-5515.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 6/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA10120200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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