Mobile Wellness Services LLC
Internal Medicine in Kearny, NJ. Organization (NPI-2).
NPI number1104835271
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104835271
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Wellness Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07696500 | NJ | Yes |
Practice location
711 Kearny AveKearny, NJ 07032-3003
Phone 888-214-9212 · Fax 888-214-9212
Mailing address
711 Kearny AveKearny, NJ 07032-3003
Phone 888-214-9212 · Fax 888-214-9212
Authorized official
Ansar Sharif
Ceo
8882149212
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