Active NPI
Mobile Care Solutions PC
- Specialist
- Worcester, MA
National Provider Identifier
1003459058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MOBILE CARE SOLUTIONS PC
- Practice address
- 300 Barber Ave
Worcester, MA 01606-2476 - Phone
- (203) 869-5515
- NPI assigned
- Oct 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Gandelman
- Title
- Owner
- Phone
- (203) 869-5515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
300 Barber Ave
Worcester, MA 01606-2476
Mailing address
67 Holly Hill LN Ste 102
Greenwich, CT 06830-6072
Phone (203) 869-5515
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572220800000",
"number": "1003459058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 HOLLY HILL LN STE 102",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306072",
"telephone_number": "203-869-5515",
"fax_number": "203-869-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BARBER AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062476",
"telephone_number": "203-869-5515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE CARE SOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-28",
"status": "A",
"authorized_official_last_name": "GANDELMAN",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-869-5515"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "300 Barber Ave",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016062476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.