- Practice location
- 105 River Ave Ste 103, Lakewood, NJ 08701-4267
- Phone
- 516-595-8560
- Fax
- 516-666-8370
- Last updated
- April 21, 2026
Nj Mobile Medical, PC is a healthcare organization based in Lakewood, NJ. Nj Mobile Medical, PC practices in Lakewood, NJ. The NPI Number for Nj Mobile Medical, PC is 1932639051 and holds a License No. 25MA10120200 (NJ). The current practice location address for Nj Mobile Medical, PC is 105 River Ave Ste 103, Lakewood, NJ 08701-4267 and can be reached out via phone at 516-595-8560 and via fax at 516-666-8370.
Provider Profile Details
- NPI Number
- 1932639051
- Provider Name
- Nj Mobile Medical, PC
- Provider Entity Type
- Organization
- Address
- 105 River Ave Ste 103, Lakewood, NJ 08701-4267
- Phone Number
- 516-595-8560
- Fax Number
- 516-666-8370
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Glenn Gandelman, MD · Sole Owner · 203-869-5515
- Provider Enumeration Date
- June 13, 2017
- Last Update Date
- April 21, 2026
- Certification Date
- April 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 River Ave Ste 103
Lakewood, NJ 08701-4267 - City
- Lakewood
- State
- New Jersey
- Zip
- 08701-4267
- Phone Number
- 516-595-8560
- Fax Number
- 516-666-8370
Provider Business Mailing Address Details
- Address
- 81 Holly Hill Ln Fl 3
Greenwich, CT 06830-2945 - City
- Greenwich
- State
- CT
- Zip
- 06830-2945
- Phone Number
- 203-869-5515
- Fax Number
- 203-869-5765
License Information
- License Number
- 25MA10120200
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Nj Mobile Medical, PC?
The NPI number of Nj Mobile Medical, PC is 1932639051. It was assigned on June 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Nj Mobile Medical, PC?
Nj Mobile Medical, PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA10120200.
Where does Nj Mobile Medical, PC practice?
The practice location is 105 River Ave Ste 103, Lakewood, NJ 08701-4267. The office can be reached at 516-595-8560 (phone) or 516-666-8370 (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 1932639051 directly on the NPPES registry website.