Active NPIOrganization

Mobile Health Care Family Clinic LLC

Nurse Practitioner, Primary Care in Fair Lawn, New Jersey

NPI Number1205662228
Practice location
19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337
Fax
201-499-7938
Last updated
June 16, 2025

Mobile Health Care Family Clinic LLC is a healthcare organization based in Fair Lawn, NJ. Mobile Health Care Family Clinic LLC practices in Fair Lawn, NJ. The NPI Number for Mobile Health Care Family Clinic LLC is 1205662228. The current practice location address for Mobile Health Care Family Clinic LLC is 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337 and can be reached out via phone at 201-479-4596 and via fax at 201-499-7938.

Provider Profile Details

NPI Number
1205662228
Provider Name
Mobile Health Care Family Clinic LLC
Provider Entity Type
Organization
Address
19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337
Phone Number
201-479-4596
Fax Number
201-499-7938
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Organization Subpart
No
Authorized Official
Fonderre L Musongong, FNP · Manager · 845-290-7287
Provider Enumeration Date
September 9, 2024
Last Update Date
June 16, 2025
Certification Date
June 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19-21 Fair Lawn Ave Ste 2C
Fair Lawn, NJ 07410-2337
Zip
07410-2337
Phone Number
201-479-4596
Fax Number
201-499-7938
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
10 Walnut Way
Highland Mills, NY 10930-2810
City
Highland Mills
State
NY
Zip
10930-2810
Phone Number
845-290-7287

License Information

Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mobile Health Care Family Clinic LLC?

The NPI number of Mobile Health Care Family Clinic LLC is 1205662228. It was assigned on September 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Mobile Health Care Family Clinic LLC?

Mobile Health Care Family Clinic LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).

Where does Mobile Health Care Family Clinic LLC practice?

The practice location is 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337. The office can be reached at 201-479-4596 (phone) or 201-499-7938 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205662228 directly on the NPPES registry website.

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